HBM: Implicit Bias

what are the steps of cultural humility

-it is lifelong -serious self reflection -commitment to respecting different viewpoints -acknowledge that culture is understood individually.

what is cultural humility

ability to maintain an interpersonal stance that is other-oriented (or open to the other) in relation to aspects of cultural identity that important to that person

What is implicit bias

attitudes or stereotypes that affect our understanding and action in an unconcious manner

how can this help health disparities ?

building awareness of these biases

how are implicit biases activated

by cues (persons skin color)

what is the cue response cycle

cue --> belief system --> response (routine action) --> reward (clear quick decision. becomes habitual mind

what are healthcare dispairities

differences in access to or availability of facilities and services and resulting clinical outcomes.

how do you change the cue

enguage patients in conversations about their care, dont assume, ask open ended questions (not leading because you think you know the answer). expose self to cue changing scenarios

how does implicit bias differ from implicit bias

explicit bias requires that the person is aware of his or her evaluation of a group, believes it to be correct. implicit bias DOES not require the perceive to endorse it,

physcians read vignet study

judged black person as less cooperative, less likely to administer anti-clot treatment, more likley to identify them as having a heart attack

how do implicit biases operate

outside of awareness, hard to control

how do implicit biases lead to disparities in health

providers implicit bias --> leads to judgements about patient and subsequently affects provides decision on care. instead, provider should openly communicate with patient, enguage them

study on race and opiods

race is big predictor if someone will recieve opiod for pain or not

how do implicit bias act on us

silently extert influence on our memory and behavior

at what point in the cue response cycle should we change things

the cue, hard to change response

what are health status disparities

variation in rates of disease and disability between groups.