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

Ruth Ryan ruth at RYAN-GRAHAM.COM
Sat Oct 14 12:07:18 UTC 2017


Thank you Linda this is a great head start.  Ruth

From: Linda M. Isbell [mailto:lisbell at PSYCH.UMASS.EDU]
Sent: Friday, October 13, 2017 7:01 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] Is there evidence of racial disparity/inequity in medical diagnosis?


Hi - there is a good bit of research on this topic - I am attaching one noteworthy paper that has been highly cited.  It employed experimental methods.  In addition I am attaching another paper by Irene Blair and colleagues that also investigates these issues.  Good people (researchers) who speak on these issues (implicit racial biases in medicine) include Jack Dovidio, Lou Penner, and Irene Blair.  This is a topic that social psychologists have spent some real time investigating in recent years.

Best,

Linda




---
Linda M. Isbell, Ph.D.
Professor, Psychology
Department of Psychological and Brain Sciences
University of Massachusetts
135 Hicks Way -- 630 Tobin Hall
Amherst, Massachusetts 01003
Office Phone:  413-545-5960
Website:  http://people.umass.edu/lisbell/

On 2017-10-13 18:27, Pat Croskerry wrote:
Ruth: attached is an overview paper with some relevant references,
Pat

From: Ruth Ryan [mailto:ruth at RYAN-GRAHAM.COM]
Sent: October 13, 2017 10:42 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Subject: [IMPROVEDX] Is there evidence of racial disparity/inequity in medical diagnosis?

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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