Evidence map›Paper›PMID 29843933›Full record

ArticlePatient education and counseling2018

Patient perspectives on racial and ethnic implicit bias in clinical encounters: Implications for curriculum development.

Cristina M Gonzalez, Maria L Deno, Emily Kintzer, Paul R Marantz, Monica L Lypson, M Diane McKee

Abstract read
In one paragraph

Article in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Keeping PeopleInternational journal of social determinants of health and health services · 2026
    Article
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  6. Review
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  8. Article
  9. "He was not listening to hear me": Parent experiences with communication, inclusion, and marginalization in the pediatric emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
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  16. Article
  17. Expanding the Study of Bias in Medical Education Assessment.Journal of graduate medical education · 2023
    Article
  18. Article
  19. Article
  20. Imagining Improved Interactions: Patients' Designs To Address Implicit Bias.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Cristina M GonzalezAlbert Einstein College of Medicine & Montefiore Medical Center, Montefiore Medical Center- Weiler Division, Bronx, 10461, USA. Electronic address: Crgonzal@montefiore.org.
Maria L DenoAlbert Einstein College of Medicine & Universidad Iberoamericana, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, 10461, USA. Electronic address: mld92@cornell.edu.
Emily KintzerMontefiore Medical Center, Bronx, NY 10467, USA. Electronic address: emkintze@montefiore.org.
Paul R MarantzAlbert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, 10461, USA. Electronic address: Paul.Marantz@einstein.yu.edu.
Monica L LypsonGeorge Washington University School of Medicine and Health Sciences, University of Michigan Medical School & Office of Academic Affiliations, Department of Veterans Affairs, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA. Electronic address: Monica.Lypson@va.gov.
M Diane McKeeAlbert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, 10461, USA. Electronic address: Diane.Mckee@einstein.yu.edu.

Funding

Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Strengthening Behavioral & Social Science in Medical School Education (R25)R25HD068835 · NICHD · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI GRUPPUSO, PHILIP A., JOO, PABLO · 2011 to 2015
$1.1M
Clinical and Translational Science AwardKL2TR001071 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SHAMOON, HARRY · 2013 to 2017
$968k
Clinical and Translational Science AwardTL1TR001072 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SHAMOON, HARRY · 2013 to 2017
$909k
AHRQ HHS R25 HS023199NCATS NIH HHS KL2 TR001071NCATS NIH HHS TL1 TR001072NCATS NIH HHS UL1 TR001073NICHD NIH HHS R25 HD068835
6 · The paper itself

Abstract

objectivePatients describe feelings of bias and prejudice in clinical encounters; however, their perspectives on restoring the encounter once bias is perceived are not known. Implicit bias has emerged as a target for curricular interventions. In order to inform the design of novel patient-centered curricular interventions, this study explores patients' perceptions of bias, and suggestions for restoring relationships if bias is perceived.

methodsThe authors conducted bilingual focus groups with purposive sampling of self-identified Black and Latino community members in the US. Data were analyzed using grounded theory.

resultsTen focus groups (in English (6) and Spanish (4)) with N = 74 participants occurred. Data analysis revealed multiple influences patients' perception of bias in their physician encounters. The theory emerging from the analysis suggests if bias is perceived, the outcome of the encounter can still be positive. A positive or negative outcome depends on whether the physician acknowledges this perceived bias or not, and his or her subsequent actions.

conclusionsParticipant lived experience and physician behaviors influence perceptions of bias, however clinical relationships can be restored following perceived bias. PRACTICE IMPLICATIONS: Providers might benefit from skill development in the recognition and acknowledgement of perceived bias in order to restore patient-provider relationships.

Indexed as

Attitude of Health PersonnelCurriculumHealthcare DisparitiesPrejudiceRacismBlack or African AmericanFemaleFocus GroupsHispanic or LatinoHumansMalePhysician-Patient RelationsPhysiciansQualitative ResearchHealthcare disparitiesHealth disparitiesImplicit biasQualitative researchUnconscious bias

Identifiers

PMID29843933
PMCPMC7065496

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.