ArticleProceedings of the National Academy of Sciences of the United States of America2022
Patient activation reduces effects of implicit bias on doctor-patient interactions.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 22 citations in OpenAlex.
- A randomized controlled trial of shared decision-making treatment planning process to enhance shared decision-making in patients with MBC.Breast cancer research and treatment · 2024Trial
- Mortality trends and demographic-geographic disparities of autoimmune liver diseases among U.S. adults aged ≥45 years, 1999-2023.Frontiers in immunology · 2026Article
- Black Men's Patient-Clinician Experiences: Pathways to Enhanced Healthcare Outcomes in the United States.Healthcare (Basel, Switzerland) · 2025Article
- Prolonged Boarding and Racial Discrimination and Dissatisfaction Among Emergency Department Patients.JAMA network open · 2024Article
- National trends of malpractice-related cardiovascular mortality within the United States, 1999-2020.Annals of medicine and surgery (2012) · 2024Review
- Compassionate Curiosity: Mitigating the Effects of Bias Through Motivational Interviewing.Health equity · 2024Article
- A codesigned integrated kidney and diabetes model of care improves patient activation among patients from culturally and linguistically diverse backgrounds.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Enhancing doctor-patient relationships in community health care institutions: the Patient Oriented Four Habits Model (POFHM) trial-a stepped wedge cluster randomized trial protocol.BMC psychiatry · 2023Article
- Imagining Improved Interactions: Patients' Designs To Address Implicit Bias.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Patient activation reduces effects of implicit bias on doctor-patient interactions.Proceedings of the National Academy of Sciences of the United States of America · 2022Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
Abstract
Disparities between Black and White Americans persist in medical treatment and health outcomes. One reason is that physicians sometimes hold implicit racial biases that favor White (over Black) patients. Thus, disrupting the effects of physicians' implicit bias is one route to promoting equitable health outcomes. In the present research, we tested a potential mechanism to short-circuit the effects of doctors' implicit bias: patient activation, i.e., having patients ask questions and advocate for themselves. Specifically, we trained Black and White standardized patients (SPs) to be "activated" or "typical" during appointments with unsuspecting oncologists and primary care physicians in which SPs claimed to have stage IV lung cancer. Supporting the idea that patient activation can promote equitable doctor-patient interactions, results showed that physicians' implicit racial bias (as measured by an implicit association test) predicted racially biased interpersonal treatment among typical SPs (but not among activated SPs) across SP ratings of interaction quality and ratings from independent coders who read the interaction transcripts. This research supports prior work showing that implicit attitudes can undermine interpersonal treatment in medical settings and provides a strategy for ensuring equitable doctor-patient interactions.
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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.