ArticleAmerican journal of public health2012
The associations of clinicians' implicit attitudes about race with medical visit communication and patient ratings of interpersonal care.
Article in American journal of public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 364 papers, 7 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Provider Awareness and Cultural Dexterity Toolkit for Surgeons Trial
Addressing Provider Stress and Unconscious Bias to Improve Quality of Maternal Health Care
Targeting Bias to Reduce Disparities in End of Life Care: Clinician Communication Behavior in Simulated Patient Encounters Study
Caring for Providers to Improve Patient Experience (CPIPE) Study: A Cluster Randomized-controlled Trial to Assess the Impact of the CPIPE Intervention on Person-centered Maternity Care
Who cites it
364 citing papers in PubMed, 7 syntheses or guidelines pooled it, 800 citations in OpenAlex.
- Exploring the role of racial/ethnic patient-physician concordance in optimizing health and patient outcomes among black populations in the United States: an integrative systematic review.Frontiers in public health · 2026Pooled it
- Patient-clinician communication amongst black perinatal people: a systematic review.Archives of women's mental health · 2025Pooled it
- The nature and validity of implicit bias training for health care providers and trainees: A systematic review.Science advances · 2024Pooled it
- Immediate breast reconstruction uptake in older women with primary breast cancer: systematic review.The British journal of surgery · 2022Pooled it
- Implicit racial bias among medical graduates and students by an IAT measure: a systematic review and meta-analysis.Irish journal of medical science · 2022Pooled it
- Diversity in Alzheimer's disease drug trials: The importance of eligibility criteria.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022Pooled it
- Pooled it
- Racial Disparities in Unmet Pain Treatment Preference, Pain Treatment Satisfaction and Subsequent Opioid Misuse: A Secondary Analysis of a National Multisite RCT.Journal of general internal medicine · 2026Trial
- To what extent should doctors communicate diagnostic uncertainty with their patients? An empirical ethics vignette study.Journal of medical ethics · 2025Trial
- Effects of Implicit Racial Bias and Standardized Patient Race on Genetic Counseling Students' Patient-Centered Communication.Health communication · 2025Trial
- Mobile Application-Based Communication Facilitation Platform for Family Members of Critically Ill Patients: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Veterans' views of PARTNER-MH, a peer-led patient navigation intervention, to improve patient engagement in care and patient-clinician communication: A qualitative study.Patient education and counseling · 2023Trial
- Cancer Clinical Trial Participant Selection: Does Provider Implicit Bias Play a Role?Journal of racial and ethnic health disparities · 2026Article
- Medical Diagnosis, ED Visits, and Hospitalizations for Substance Use in U.S. Children's Hospitals: A Retrospective Multi-Center Cohort Study.Children (Basel, Switzerland) · 2026Article
- Racial disparities in multiple sclerosis quality of care metrics.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026Article
- Exploring the Acceptability and Feasibility of a Self-directed Approach to Identifying Health Priorities in a Sample of Southern Older African American Adults with Multiple Chronic Conditions.Journal of racial and ethnic health disparities · 2026Article
- Invisible attitudes have visible effects on the behaviour of animals in scientific studies.Animal cognition · 2026Article
- Racial Disparities in Doctor-Patient Communication: Examining Doctors' Encounters with Black and White Patients.Journal of racial and ethnic health disparities · 2026Article
- Defer, Share, or Drive the Decision: Empowering Patients With Varied Preferences to Engage in Decision-making (an Analysis From Alliance A231701CD).Annals of surgery · 2026Article
- Bias and discrimination in healthcare through the eyes of future professionals: a qualitative study of student observations.BMC medical education · 2026Article
304 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectivesWe examined the associations of clinicians' implicit attitudes about race with visit communication and patient ratings of care.
methodsIn a cross-sectional study of 40 primary care clinicians and 269 patients in urban community-based practices, we measured clinicians' implicit general race bias and race and compliance stereotyping with 2 implicit association tests and related them to audiotape measures of visit communication and patient ratings.
resultsAmong Black patients, general race bias was associated with more clinician verbal dominance, lower patient positive affect, and poorer ratings of interpersonal care; race and compliance stereotyping was associated with longer visits, slower speech, less patient centeredness, and poorer ratings of interpersonal care. Among White patients, bias was associated with more verbal dominance and better ratings of interpersonal care; race and compliance stereotyping was associated with less verbal dominance, shorter visits, faster speech, more patient centeredness, higher clinician positive affect, and lower ratings of some aspects of interpersonal care.
conclusionsClinician implicit race bias and race and compliance stereotyping are associated with markers of poor visit communication and poor ratings of care, particularly among Black patients.
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Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.