Addressing bias in healthcare: Confrontation as a tool for bias reduction and patient and provider self-advocacy

Katherine Wolsiefer, Jeff Stone

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The individual biases of health-care providers may be one contributor to the persistence of health disparities. Evidence suggests that health-care professionals, like members of the broader community, hold implicit biases, and furthermore that these biases are related to the quality of doctor-patient interactions. In this chapter, we propose that patient confrontation of physician bias may serve as a self-advocacy tool that reduces physician bias and improves quality of patient care. We discuss unique challenges and considerations for effective confrontation in the health-care setting. We also discuss the possibility of confrontation as a strategy that health-care providers may use to reduce expressions of bias from their patients. Finally, we discuss evidence on whether confrontation-based training effectively reduces bias in this setting.

Original languageEnglish (US)
Title of host publicationConfronting Prejudice and Discrimination
Subtitle of host publicationThe Science of Changing Minds and Behaviors
PublisherElsevier
Pages275-297
Number of pages23
ISBN (Electronic)9780128147160
ISBN (Print)9780128147153
DOIs
StatePublished - Mar 15 2019

Keywords

  • Bias reduction
  • Confrontation
  • Health care
  • Health disparities
  • Implicit bias
  • Patient self-advocacy

ASJC Scopus subject areas

  • Psychology(all)

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    Wolsiefer, K., & Stone, J. (2019). Addressing bias in healthcare: Confrontation as a tool for bias reduction and patient and provider self-advocacy. In Confronting Prejudice and Discrimination: The Science of Changing Minds and Behaviors (pp. 275-297). Elsevier. https://doi.org/10.1016/B978-0-12-814715-3.00013-8