There is increasing evidence that implicit bias – non-conscious attitudes toward specific groups – is a source of racial inequities in certain aspects of health care, and lawmakers are taking note.
Since the tragic murder of George Floyd in May 2020, wherein a Black man was killed by police, several U.S. federal and state legislators have introduced proposals declaring racism as a public health crisis. In March 2024, four U.S. senators led a resolution calling out the “implicit racial and ethnic biases within the health care system, which have an explicit impact on the quality of care experienced by members of racial and ethnic minority groups.”
Following this reasoning, states like California and Massachusetts have enacted legislation mandating implicit bias training for health care providers. Health institutions have also focused on addressing implicit bias among the next generation of providers. For example, the American Medical Association’s guidelines to address systemic racism in medicine includes requiring training that covers various forms of racial bias.
The first thing to understand is that implicit bias isn’t just one thing. It involves multiple interconnected components that govern how someone interacts with specific groups or its members: affect, behavior and cognition.
Psychologists sometimes refer to those components as the ABCs.
The affective component of bias, also known as prejudice, is defined as having negative feelings towards a group or its members. The behavioral component of bias, or discrimination, involves negative or harmful actions towards a group or its members. Lastly, the cognitive component of bias, also known as stereotyping, refers to expectations and beliefs about a group.
There is increasing evidence that implicit bias – non-conscious attitudes toward specific groups – is a source of racial inequities in certain aspects of health care, and lawmakers are taking note.
Since the tragic murder of George Floyd in May 2020, wherein a Black man was killed by police, several U.S. federal and state legislators have introduced proposals declaring racism as a public health crisis. In March 2024, four U.S. senators led a resolution calling out the “implicit racial and ethnic biases within the health care system, which have an explicit impact on the quality of care experienced by members of racial and ethnic minority groups.”
Following this reasoning, states like California and Massachusetts have enacted legislation mandating implicit bias training for health care providers. Health institutions have also focused on addressing implicit bias among the next generation of providers. For example, the American Medical Association’s guidelines to address systemic racism in medicine includes requiring training that covers various forms of racial bias.
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