Humbio 122S Week 9/10 Section

Front 1

four types of bias

Back 1

-concious
-institutionalized
-statistical
-unconcious

Front 2

shared decision making and its three domains (introduced in Peek)

Back 2

SDM= doctor and patient both agreeing upon treatment options; patient preferences are taken into account
-information sharing: exchange of information between physician and patient
-deliberation/physicial recc: doctor tells patient all treatment options before recommending one
-decision making: joint decision is made taking patient preference and doctor preference into acct

Front 3

Peek et. al study

Back 3

-found barriers to SDM
-cultural discordance: cultural barriers--foreign doctors may not understand culture of minority patients, failing to understand behavior is often the result of culture
-stereotyping/bias: physicians may undersestimate intelligence of minority patients

Front 4

Brady et al paper

Back 4

-thinks that Peeks article ws just an evaluation of Black patient dissatisfaction rather than actual evidence of discrimination
-cultural comp programs are ineffective to get rid of unconcious bias
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Front 5

Acquaviva, Mintz study

Back 5

-stop using visual determinations of race
-dont record race in patient history
-dont use race as substitute for background reserach

Front 6

Satel article

Back 6

-racial profiling is good as a quick diagnostic tool
-should be used a as a baseline, around which to tailor treatment

Front 7

Lurie article

Back 7

-recognition of disparities based on availability of data
-encourage insurance companies to concern themselves with healh of minority subgroups by appealing to their economic interests

Front 8

Syme article

Back 8

Syme: shift focus from clinical aspect to social root of illness (ie bus drivers in SF study)
-make society as whole aware about the detriment of health inequity

Front 9

Marmot article

Back 9

-promote health equity through social equity
-improve circumstance that a child in born into
-decrease equity of resource distribution