Implicit Physician Biases in Periviability Counseling

To assess whether neonatologists show implicit racial and/or socioeconomic biases and whether these are predictive of recommendations at extreme periviability. A nationwide survey using a clinical vignette of a woman in labor at 232/7 weeks of gestation asked physicians how likely they were to recom...

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Veröffentlicht in:The Journal of pediatrics 2018-06, Vol.197, p.109-115.e1
Hauptverfasser: Shapiro, Natasha, Wachtel, Elena V., Bailey, Sean M., Espiritu, Michael M.
Format: Artikel
Sprache:eng
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Zusammenfassung:To assess whether neonatologists show implicit racial and/or socioeconomic biases and whether these are predictive of recommendations at extreme periviability. A nationwide survey using a clinical vignette of a woman in labor at 232/7 weeks of gestation asked physicians how likely they were to recommend intensive vs comfort care. Participants were randomized to 1 of 4 versions of the vignette in which racial and socioeconomic stimuli were varied, followed by 2 implicit association tests (IATs). IATs revealed implicit preferences favoring white (mean IAT score = 0.48, P 
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2018.01.070