ArticleNature communications2021
The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimental setting.
Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Health center staff perceptions of gender and equity in the Conakry health region, Guinea (2025): a cross-sectional survey.BMC health services research · 2026Article
- Tackling healthcare providers bias: a systematic review of interventions with implications for inclusive clinical research.EClinicalMedicine · 2025Article
- Response to the Letter to the Editor: The Potential Consideration of Implicit/Unconscious Gender Bias in Clinical Management Among Patients With Familial Hypercholesterolemia.Health science reports · 2025Article
- Human-AI collectives most accurately diagnose clinical vignettes.Proceedings of the National Academy of Sciences of the United States of America · 2025Article
- Are Auditory-Perceptual Evaluations of Dysphonia by Experienced Voice Clinicians Affected by Knowledge of Speaker Race?American journal of speech-language pathology · 2025Article
- Demographic bias of expert-level vision-language foundation models in medical imaging.Science advances · 2025Article
- Physician clinical decision modification and bias assessment in a randomized controlled trial of AI assistance.Communications medicine · 2025Article
- Innovations in Digital Health From a Global Perspective: Proceedings of PRC-HI 2024.Health care science · 2025Article
- On the graph theory of majority illusions: theoretical results and computational experiments.Autonomous agents and multi-agent systems · 2025Article
- A framework for promoting disciplinary diversity and inclusion through epistemic justice.Conservation biology : the journal of the Society for Conservation Biology · 2024Article
- Sex and gender bias in chronic coronary syndromes research: analysis of studies used to inform the 2019 European Society of Cardiology guidelines.The Lancet regional health. Europe · 2024Article
- Inherent Bias in Electronic Health Records: A Scoping Review of Sources of Bias.medRxiv : the preprint server for health sciences · 2024Article
- Bias of AI-generated content: an examination of news produced by large language models.Scientific reports · 2024Article
- Deep learning-aided decision support for diagnosis of skin disease across skin tones.Nature medicine · 2024Article
- 'I'm still here, I'm alive and breathing': The experience of Black Americans with long COVID.Journal of clinical nursing · 2024Article
- ChatGPT Influence on Medical Decision-Making, Bias, and Equity: A Randomized Study of Clinicians Evaluating Clinical Vignettes.medRxiv : the preprint server for health sciences · 2023Article
- Unconscious Bias among Health Professionals: A Scoping Review.International journal of environmental research and public health · 2023Article
- Experimental evidence for structured information-sharing networks reducing medical errors.Proceedings of the National Academy of Sciences of the United States of America · 2023Article
- Understanding Psychological Symptoms of Endometriosis from a Research Domain Criteria Perspective.Journal of clinical medicine · 2023Review
- Sex Differences in Mortality of ICU Patients According to Diagnosis-related Sex Balance.American journal of respiratory and critical care medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Bias in clinical practice, in particular in relation to race and gender, is a persistent cause of healthcare disparities. We investigated the potential of a peer-network approach to reduce bias in medical treatment decisions within an experimental setting. We created "egalitarian" information exchange networks among practicing clinicians who provided recommendations for the clinical management of patient scenarios, presented via standardized patient videos of actors portraying patients with cardiac chest pain. The videos, which were standardized for relevant clinical factors, presented either a white male actor or Black female actor of similar age, wearing the same attire and in the same clinical setting, portraying a patient with clinically significant chest pain symptoms. We found significant disparities in the treatment recommendations given to the white male patient-actor and Black female patient-actor, which when translated into real clinical scenarios would result in the Black female patient being significantly more likely to receive unsafe undertreatment, rather than the guideline-recommended treatment. In the experimental control group, clinicians who were asked to independently reflect on the standardized patient videos did not show any significant reduction in bias. However, clinicians who exchanged real-time information in structured peer networks significantly improved their clinical accuracy and showed no bias in their final recommendations. The findings indicate that clinician network interventions might be used in healthcare settings to reduce significant disparities in patient treatment.
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