Evidence map›Paper›PMID 40240747›Full record

SynthesisJournal of racial and ethnic health disparities2026

The Perpetual Cycle of Racial Bias in Healthcare and Healthcare Education: A Systematic Review.

Vittoria Sorice, Gerri Mortimore, Mark Faghy, Rossella Sorice, Davinder Tegally

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

5 authors.

Vittoria SoriceCollege of Health, Psychology and Social Care, University of Derby, Derby, UK. vittoria.sorice@nhs.net.ORCID 0000-0001-5042-1880
Gerri MortimoreCollege of Health, Psychology and Social Care, University of Derby, Derby, UK.ORCID 0000-0001-6890-4346
Mark FaghyCollege of Science and Engineering, University of Derby, Derby, UK.ORCID 0000-0002-8163-7032
Rossella SoriceUniversity of Naples Federico II, Naples, Italy.
Davinder TegallyMedicines and Healthcare Products Regulatory Agency, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis systematic review aimed to identify and categorise racial bias in healthcare and education; evaluate their impact on healthcare practitioners, students, and patients; and explore strategies to reduce these biases and improve health equity.

methodA systematic review was conducted following PRISMA guidelines to investigate racial bias in healthcare and healthcare education. Databases searched included PubMed, Cochrane, EMBASE, and CINAHL. Identification of additional papers was completed by employing backward and forward snowballing techniques. Rigorous interprofessional multi-reviewer screening and data extraction processes were performed. Thematic analysis was conducted inductively and collaboratively refined, with disagreements resolved through discussion and a third reviewer confirming resolutions as an additional quality assurance measure.

resultsFrom an initial pool of 1634 records, 45 studies were included in the final review. The studies employed various designs, primarily cross-sectional, with most conducted in the United States of America. Five themes emerged: disparities in healthcare access and/or provision, perceived discrimination and/or medical mistrust, provider bias and/or stereotyping, disparities in education and training, and healthcare literature disparities.

conclusionsThe findings suggest significant racial disparities across multiple medical specialties, including maternal and infant healthcare, chronic disease management, and emergency care. The review also highlights the underrepresentation of racial minorities in medical imagery and educational materials, contributing to implicit bias and inadequate training for healthcare providers. Overall, the five identified themes appear interconnected, forming a self-reinforcing cycle of racial bias in healthcare and education.

Indexed as

Education, MedicalHealthcare DisparitiesHealth PersonnelRacismHealth Services AccessibilityHumansCultural competenceHealthcare disparitiesHealthcare educationHealth equityRacial bias

Identifiers

PMID40240747
PMCPMC13157402

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.