Cited by 310Social and Intergroup PsychologyCultural Competency in Health CareRacial and Ethnic Identity Research

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Why do providers contribute to disparities and what can be done about it?

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Burgess, Diana J., Fu, Steven S., Ryn, Michelle·2004·Journal of General Internal Medicine

DOI 10.1111/j.1525-1497.2004.30227.xPMC PMC1494785

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Abstract

This paper applies social cognition research to understanding and ameliorating the provider contribution to racial/ethnic disparities in health care. We discuss how fundamental cognitive mechanisms such as automatic, unconscious processes (e.g., stereotyping) can help explain provider bias. Even well-intentioned providers who are motivated to be nonprejudiced may stereotype racial/ethnic minority members, particularly under conditions of that diminish cognitive capacity. These conditions-time pressure, fatigue, and information overload-are frequently found in health care settings. We conclude with implications of the social-cognitive perspective for developing interventions to reduce provider bias.

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Authors: Burgess, D. J., Fu, S. S., & Ryn, M.
Affiliations: University of Minnesota (US)
Minneapolis VA Health Care System (US)
Corresponding author: Burgess, Diana J.
ORCID: Burgess, Diana J.
Fu, Steven S.
Ryn, Michelle
Venue: Journal of General Internal Medicine
Publisher: Springer Science and Business Media LLC
Published: 2004-11
Volume: 19
Issue: 11
Pages: 1154-1159
ISSN: 0884-8734 (ISSN-L)
1525-1497
DOI: 10.1111/j.1525-1497.2004.30227.x
PMC: PMC1494785
OpenAlex: W2080008930
Cited by: 310
References: 103
Citations by year: 2026: 2 · 2025: 9 · 2024: 11 · 2023: 17 · 2022: 15 · 2021: 18 · 2020: 16 · 2019: 16 · 2018: 17 · 2017: 17 · 2016: 14 · 2015: 15 · 2014: 25 · 2013: 15 · 2012: 13
FWCI: 43.09
Type: journal article
Language: en
Open access: green
europepmc.org
Locations: Journal of General Internal Medicine (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics: Social Sciences › Sociology and Political Science › Social and Intergroup Psychology
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
Keywords: racial and ethnic disparities, provider bias, stereotyping, implicit bias, social cognition, health care disparities, cognitive ability, time pressure, information overload, bias reduction interventions
MeSH terms: Black or African American, Delivery of Health Care, Health Services Research, Humans, Practice Patterns, Physicians', Prejudice, Socioeconomic Factors, Stereotyping, White People

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Why do providers contribute to disparities and what can be done about it?

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