Why is implicit bias important?

As health care and service professionals and organizations work to provide care to a diverse population, many are recognizing the need to address implicit bias. All people have implicit bias, also called unconscious bias. These positive or negative attitudes or stereotypes affect our understanding, actions, and decisions in an unconscious way. In health care, this can result in inequitable care.

The first step in addressing implicit bias is acknowledging that it exists. The resources in this section will assist individuals and organizations:

Understand the Impact of Bias in Health Care

Numerous studies show that health care professionals are prone to engaging implicit biases, which can impact provider-patient interactions. Clinicians may provide the same information on treatment choices, risks, and outcomes, but nonverbal cues may counter efforts to display empathy or build rapport. Studies have shown that patient behavior, and decisions are affected when they perceive bias from their clinicians. Bias can change a patient’s behavior resulting in higher treatment dropout, lower participation in screening, delays in filling prescriptions, poorer perception of care quality, avoidance of health care, and ultimately, worse health outcomes. Explore the resources below to learn more about the effects of bias on health care outcomes.

How Does Implicit Bias Affect Health Care?

This short video from the Institute for Healthcare Improvement describes the ways implicit bias appears in health care. (3-minute video)

Implicit bias in health care

This Quick Safety article from The Joint Commission discusses the negative impact of implicit bias on health care outcomes. (4-page PDF)

Kirwan Institute for the Study of Race and Ethnicity

This website contains original research and reports on how structural racialization and implicit bias create and sustain barriers to opportunity and health. Kirwan is an interdisciplinary engaged research institute at The Ohio State University. (Website)

Assess and Address Biases

Bias can manifest in a variety of ways in health care. For example:

  • Spending less time touching certain patients
  • Looking at the nurse or computer instead of the patient
  • Crossing arms or keeping hands in pockets
  • Standing further away from the bedside of certain patients
  • Using first-person plural pronouns like “we,” “ours” or “us” (e.g., “We are going to take our medicine, right?” when interacting with Black patients, which can suggest lack of responsibility or will to control health)
  • Talking more to exert control over a patient or voice expertise, instead of listening more and validating an individual’s health or experience

Some biases we are aware of, and others are unconscious. Explore the resources below to get a better understanding of your own unconscious biases. Then use the knowledge you’ve gained to identify action steps to mitigate bias and the resulting negative effect on patients.

Implicit Bias in Health Care Quiz

This 10-question quiz from Stratis Health reveals how implicit bias affects patient care and provides practical tips to help correct bias and provide the best care possible. You can also use this to catalyze discussion with colleagues. (Online quiz)

The Minnesota Dignity in Pregnancy and Childbirth Project

This online training is designed to help health care professionals deepen their understanding of the impact of structural racism on the health and health care of Black and Indigenous birthing people. (eLearning course)

Project Implicit Social Attitudes Tests

Take any number of implicit association tests to discover your automatic preferences for different groups of people. (Website)

Intercultural Development Inventory

The IDI assesses intercultural competence – the capability to shift cultural perspective and appropriately adapt behavior to cultural differences and commonalities. (Website)

What is Bias and What can Medical Professional Do About it?

This short video from the Institute for Healthcare Improvement explains how health care providers can stop implicit bias from negatively impacting patients. (5-minute video)

Engage Stratis Health in an Implicit Bias Workshop

Stratis Health can help put an end to unconscious bias in health care practices. Contact Sue Severson (sseverson@stratishealth.org) to learn more.

Assess and Address Organizational Biases through CLAS

The Culturally and Linguistically Appropriate Services (CLAS) Standards are a framework developed by the Office of Minority Health to improve health care quality and advance health equity within health care organizations.

Culturally and Linguistically Appropriate Services (CLAS) Toolkit

This toolkit, funded by the Minnesota Department of Human Services, will help you:

  1. Understand the national CLAS Standards and what they can help your organization accomplish.
  2. Assess the extent to which your organization applies the CLAS Standards: where you are doing well and where there is room for improvement.
  3. Identify and prioritize ways to improve your organization’s ability to apply the CLAS Standards.
  4. Develop an action plan to improve how your organization applies the CLAS Standards.
  5. Develop a plan to evaluate and continuously improve your organization’s delivery of CLAS.

The following resources were designed to complement and enhance the CLAS Toolkit:

This playlist of five short “quickinar” videos to help you apply key sections of the Toolkit:

This playlist of six short “CLAS Conversations” – interviews with health leaders from across Minnesota working to apply the national CLAS Standards. In these conversations, you’ll find insights and advice from leaders in the field.

The National CLAS Standards

Learn more about the National CLAS Standards developed by the Office of Minority Health to serve as a framework for organizations to improve health care quality and advance health equity. (Website)

Why culturally and linguistically appropriate services (CLAS) matter

This short video from the Office of Minority Health shares perspectives from CLAS champions about why CLAS matters. (7-minute video)

Engage Stratis Health in an Organization-Wide CLAS Assessment

Engage Stratis Health in an organization-wide CLAS assessment to help you fully understand how well your organization is performing in relation to the CLAS Standards. Contact Sue Severson (sseverson@stratishealth.org) to learn more or request a proposal.

 

Engage in Continuous Learning

Keep yourself informed. Start a consciousness-raising group with your colleagues to stay current on the latest regarding health equity, disparities, anti-racism work, and related topics, then discuss as a group and identify opportunities to incorporate what you learn into your work.

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