ArticleMedical care2014
Physicians' anxiety due to uncertainty and use of race in medical decision making.
Article in Medical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Physicians' Perceptions of Race and Engagement in Race-Based Clinical Practice: a Mixed-Methods Systematic Review and Narrative Synthesis.Journal of general internal medicine · 2022Pooled it
- Defining and Measuring Diagnostic Uncertainty in Medicine: A Systematic Review.Journal of general internal medicine · 2018Pooled it
- Trial
- Exploring Residents' Beliefs Regarding the Role of Race in Clinical Decision-Making: A Qualitative Study.Journal of graduate medical education · 2025Article
- Unclear Trajectory and Uncertain Benefit: Creating a Lexicon for Clinical Uncertainty in Patients with Critical or Advanced Illness Using a Delphi Consensus Process.Medical decision making : an international journal of the Society for Medical Decision Making · 2025Article
- Rural libraries implementing walking groups or walking groups plus civic engagement for walkability in rural communities: a comparative effectiveness trial study protocol.BMC public health · 2023Article
- Design of a Non-Interventional Study to Assess Neurologists' Perspectives and Pharmacological Treatment Decisions in Early Alzheimer's Disease.Neurology and therapy · 2023Article
- Race-Based Care and Beliefs Regarding the Etiology of Racial Differences in Health Outcomes.American journal of preventive medicine · 2023Article
- Colorblind Racial Ideology and Physician Use of Race in Medical Decision-Making.Journal of racial and ethnic health disparities · 2022Article
- Therapeutic Decision-Making Under Uncertainty in the Management of Spinal Muscular Atrophy: Results From DECISIONS-SMA Study.Neurology and therapy · 2022Article
- Therapeutic decisions under uncertainty for spinal muscular atrophy: The DECISIONS-SMA study protocol.PloS one · 2022Article
- Regret and Therapeutic Decisions in Multiple Sclerosis Care: Literature Review and Research Protocol.Frontiers in neurology · 2021Article
- Clinical Genetics Lacks Standard Definitions and Protocols for the Collection and Use of Diversity Measures.American journal of human genetics · 2020Article
- Association of Racial Bias With Burnout Among Resident Physicians.JAMA network open · 2019Article
- The complexity of physicians' understanding and management of prognostic uncertainty in neonatal hypoxic-ischemic encephalopathy.Journal of perinatology : official journal of the California Perinatal Association · 2019Article
- Views Of Primary Care Providers On Testing Patients For Genetic Risks For Common Chronic Diseases.Health affairs (Project Hope) · 2018Article
- Primary Care Physicians' Collection, Comfort, and Use of Race and Ethnicity in Clinical Practice in the United States.Health equity · 2017Article
- Article
- Physicians' knowledge, beliefs, and use of race and human genetic variation: new measures and insights.BMC health services research · 2014Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe explicit use of race in medical decision making is contested. Researchers have hypothesized that physicians use race in care when they are uncertain.
objectivesThe aim of this study was to investigate whether physician anxiety due to uncertainty (ADU) is associated with a higher propensity to use race in medical decision making. RESEARCH
designThis study included a national cross-sectional survey of general internists. SUBJECTS: A national sample of 1738 clinically active general internists drawn from the SK&A physician database were included in the study. MEASURES: ADU is a 5-item measure of emotional reactions to clinical uncertainty. Bonham and Sellers Racial Attributes in Clinical Evaluation (RACE) scale includes 7 items that measure self-reported use of race in medical decision making. We used bivariate regression to test for associations between physician characteristics, ADU, and RACE. Multivariate linear regression was performed to test for associations between ADU and RACE while adjusting for potential confounders.
resultsThe mean score on ADU was 19.9 (SD=5.6). Mean score on RACE was 13.5 (SD=5.6). After adjusting for physician demographics, physicians with higher levels of ADU scored higher on RACE (+β=0.08 in RACE, P=0.04, for each 1-point increase in ADU), as did physicians who understood "race" to mean biological or genetic ancestral, rather than sociocultural, group. Physicians who graduated from a US medical school, completed fellowship, and had more white patients scored lower on RACE.
conclusionsThis study demonstrates positive associations between physicians' ADU, meanings attributed to race, and self-reported use of race in medical decision making. Future research should examine the potential impact of these associations on patient outcomes and health care disparities.
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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.