Evidence map›Paper›PMID 35308990›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2021

Broken down by bias: Healthcare biases experienced by BIPOC and LGBTQ+ patients.

Reggie Casanova-Perez, Calvin Apodaca, Emily Bascom, Deepthi Mohanraj, Cezanne Lane, Drishti Vidyarthi, Erin Beneteau, Janice Sabin, Wanda Pratt, Nadir Weibel and 1 more

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing 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

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

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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

11 authors.

Reggie Casanova-PerezUniversity of Washington, Seattle, Washington.
Calvin ApodacaUniversity of Washington, Seattle, Washington.
Emily BascomUniversity of Washington, Seattle, Washington.
Deepthi MohanrajUniversity of Washington, Seattle, Washington.
Cezanne LaneUniversity of Washington, Seattle, Washington.
Drishti VidyarthiUniversity of Washington, Seattle, Washington.
Erin BeneteauUniversity of Washington, Seattle, Washington.
Janice SabinUniversity of Washington, Seattle, Washington.
Wanda PrattUniversity of Washington, Seattle, Washington.
Nadir WeibelUniversity of California San Diego, San Diego, California.
Andrea L HartzlerUniversity of Washington, Seattle, Washington.

Funding

University of Washington Biomedical Informatics and Data Science Research Training ProgramT15LM007442 · NLM · UNIVERSITY OF WASHINGTON · PI JOHN H. GENNARI, Andrea L. Hartzler · 2002 to 2026
$19.6M
UnBIASED: Understanding Biased patient-provider Interaction And Supporting Enhanced DiscourseR01LM013301 · NLM · UNIVERSITY OF WASHINGTON · PI HARTZLER, ANDREA L. · 2019 to 2023
$3.0M
NLM NIH HHS R01 LM013301NLM NIH HHS T15 LM007442
6 · The paper itself

Abstract

Bias toward historically marginalized patients affects patient-provider interactions and can lead to lower quality of care and poor health outcomes for patients who are Black, Indigenous, People of Color (BIPOC) and Lesbian, Gay, Bisexual, Transgender and Gender Diverse (LGBTQ+). We gathered experiences with biased healthcare interactions and suggested solutions from 25 BIPOC and LGBTQ+ people. Through qualitative thematic analysis of interviews, we identified ten themes. Eight themes reflect the experience of bias: Transactional Care, Power Inequity, Communication Casualties, Bias-Embedded Medicine, System-level problems, Bigotry in Disguise, Fight or Flight, and The Aftermath. The remaining two themes reflect strategies for improving those experiences: Solutions and Good Experiences. Characterizing these themes and their interconnections is crucial to design effective informatics solutions that can address biases operating in clinical interactions with BIPOC and LGBTQ+ patients, improve the quality of patient-provider interactions, and ultimately promote health equity.

Indexed as

Health PromotionSexual and Gender MinoritiesBiasFemaleHealthcare DisparitiesHumansSexual Behavior

Identifiers

PMID35308990
PMCPMC8861755

What OpenQuestion holds

Textmetadata
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.