Is there evidence of racial disparity/inequity in medical diagnosis?

Shanu Gupta shanuguptamd at GMAIL.COM
Fri Oct 13 16:23:43 UTC 2017

Ruth, you may want to read The Death Gap by Dave Ansell. Dave has also
published some compelling work on breast cancer mortality in African
American women as compared to other races. There is certainly lots of
information coming out right now about this very topic, and very compelling
evidence for implicit biases in healthcare.
You may also want to check out Harvard's Project Implicit ( if you haven't


*Shanu Gupta MD FACP*

Director of Education, Division of Hospital Medicine, Rush University
Medical Center

Director of Clinical Skills, Rush University Medical College

1717 W Congress Parkway

10 Kellogg

Chicago, Illinois 60612

*Phone*: 312-942-4200 |*Fax*: 312-942-3568

On Fri, Oct 13, 2017 at 8:42 AM, Ruth Ryan <ruth at> wrote:

> Hello all,
> There appears to be a lot of evidence for racial/ethnic/gender disparities
> in medical treatment and outcomes.
> We all know diagnosis is the gateway to treatment and outcomes.
> So is there evidence for racial disparity/inequity in medical diagnosis?
> The Sunday NY Times reiterated the study about job resumes receiving
> significantly different response rates from employers based on whether they
> came from a black or a white sounding name.  The article reports on a new
> study of response to simple email queries to public offices (sheriff,
> library, school district) from back and white sounding names and show an
> 8-13% higher rate of no-response or less cordial response to inquiries from
> blacks, worse in more heavily white geographic areas.  This was presumed to
> be due to unconscious bias.
> I’m looking for material (studies, articles, writers, speakers) on
> racial/ethnic/gender disparities related to diagnosis. Or treatment/outcome
> disparities linked back to diagnosis.  Know of any?
> Ruth
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