News Roundup | Week of March 9, 2018

By Megan Bedford on 3/9/18 3:42 PM

Cancer Screening Recommendations Put Nonwhite Women at Risk

In the United States, the recommended age for women to begin routine mammograms for cancer screening was recently increased to 50 years of age. This was based on a study of 747,763 mostly white women showing that breast cancer diagnoses peaked in their 60s. But researchers from Massachusetts General Hospital (MGH) have published a new study in JAMA Surgery that shows black, Hispanic, and Asian women tend to get breast cancer earlier than white women. A lack of data from racially diverse populations could put nonwhite women at risk for delayed diagnosis. According to David Chang, PhD, MBA, MPH, of the MGH department of surgery and an associate professor of surgery at Harvard Medical School, "The situation with breast cancer is one of the best examples of how science done without regard to racial differences can produce guidelines that would be ultimately harmful to minority patients."

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News Roundup | Week of March 2, 2018

By Megan Bedford on 3/2/18 1:59 PM

Bias Impacts Research in Precision Medicine

Unconscious bias can lead to negative outcomes for disadvantage patient populations, even when that bias occurs behind-the-scenes in research settings. A new report from Data & Society identifies several ways that datasets can become biased, including historical bias, analytical bias, and access to different types of genetic data. “Bias through invisibility—such as lack of data on certain factors—can trigger discriminatory outcomes just as easily as explicitly problematic data,” note the authors.

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News Roundup | Week of February 23, 2018

By Megan Bedford on 2/23/18 1:16 PM


Physicians Feel Unequipped to Treat Transgender Patients

The transgender population is underserved by the healthcare system, and one reason may be provider hesitancy. To meet the medical needs of transgender people, healthcare organizations, together with medical schools and residency programs, must incorporate training and content on how to care for transgender patients.

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Do You Know About Your Hidden Bias? The IAT Can Help.

By Megan Bedford on 2/21/18 1:37 PM

 

In our live learning event Unconscious Bias in Medical Decision-Making, Quality Interactions co-founder Dr. Joseph Betancourt used data from the Implicit Association Test (IAT) to illustrate that nearly everyone has unconscious biases that impact our judgment and behavior. By nature of being unintended, or “unconscious,” it is essential to have a way to uncover our biases as a first step toward changing them. This is where the IAT comes in.

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7 Questions You Have About Unconscious Bias, Answered by Dr. Betancourt

By Joseph Betancourt, MD, MPH on 2/15/18 11:55 AM

Last week our live learning event, Unconscious Bias in Medical-Decision Making, was attended by 225 organizations from 40 states in the U.S., Canada, and Switzerland. In this blog post, Dr. Joseph Betancourt responds to seven questions we didn't have time to answer during the event.

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News Roundup | Week of February 9, 2016

By Megan Bedford on 2/9/18 9:48 AM

Racial Bias Affects Trauma Outcomes

Dr. Adil Haider, a trauma surgeon at Harvard Medical School, has been studying disparities in emergency care outcomes for over 10 years. “People have always had this iconic image of emergency departments as the great equalizers,” Haider says. “There’s a perception that no matter who you are, if you have a trauma injury, you’re going to get picked up and receive the same level of care.” However, Dr. Haider's research identified large gaps in patient survival rates based on race. Compared to white patients with similar injuries, he found that black and Hispanic patients have a 20% and 50% greater chance of death, respectively. Socioeconomic factors, insurance status, and access to immediate emergency care all contribute to this disparity. But unconscious bias is also a likely culprit.

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News Roundup | Week of February 2, 2018

By Megan Bedford on 2/2/18 4:55 PM

New Report Links Black Maternal Mortality to Racial Bias

The Center for American Progress released a new report on the high death rates among black mothers and infants in the U.S. As previously reported here, black mothers die at at rate three to four times higher than white mothers, and infants born to black women die at twice the rate of those born to white women. The disparity is driving the country's overall maternal mortality rate, which is the worst in the developed world. This growing crisis can't be explained by socioeconomic factors. The report presents research showing that risk factors including income, education, and physical and mental health cannot account for the disparity in outcomes. Instead, the report points to systematic racial bias, including within the healthcare system. 

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News Roundup | Week of January 26, 2018

By Megan Bedford on 1/26/18 5:20 PM

Unconscious Bias Shielded Larry Nassar

The country was shocked this week by the sentencing of Dr. Larry Nassar, formerly the USA Gymnastics team doctor and an osteopathic physician at Michigan State University. Dr. Nassar confessed to serial child molestation after being accused of abusing at least 150 underage girls during his career. A piece in The Atlantic argues that Nassar's behavior was sheilded by the tendency of medical providers to doubt female pain. This tendency stems from unconscious bias that labels women as "hysterical," "emotional," and inherently less trustworthy than men. 

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News Roundup | Week of January 15, 2018

By Megan Bedford on 1/19/18 6:42 PM

Serena Williams's Birth Story Highlights Black Maternal Mortality Rates

Serena Williams's birth experience has added to the growing chorus of concern and outrage over black maternal mortality rates. In a cover story for Vogue, the tennis star describes her life-threatening post-birth complications. When she started to feel short of breath after her delivery, her concerns (based on a history of pulmonary embolisms) were initially dismissed by her caregivers.

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What Will It Take to End Perceived Discrimination in Healthcare?

By Megan Bedford on 1/16/18 11:38 AM


Perceived discrimination, based on race, gender, and other factors, causes patients to distrust the healthcare system and medical practitioners. They are then less likely to seek treatment, and less likely to follow through on medical advice. In response to a recent study on this topic, Quality Interactions co-founder Dr. Joseph Betancourt published an editorial in the Journal of General Internal Medicine (JGIM).The study, by Nguyen et al., found that rates of perceived discrimination in healthcare declined among black patients between 2008 and 2014. While this could be promising news, Dr. Betancourt argues that it is not time to celebrate yet.

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