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What COVID-19 Teaches Us About Implicit Bias in Pediatric Health Care

Siddika S Mulchan1, Emily O Wakefield1, Melissa Santos1

  • 1Department of Pediatrics, Connecticut Children's Medical Center, University of Connecticut School of Medicine.

Journal of Pediatric Psychology
|January 24, 2021
PubMed

Insights

Implicit bias in pediatric care worsened health disparities during the COVID-19 pandemic. Strategies at individual and institutional levels can mitigate this bias and improve care for marginalized youth.

Area of Science:

  • Pediatric healthcare
  • Health disparities
  • Implicit bias

Background:

  • Implicit bias contributes to health disparities in pediatric populations.
  • The COVID-19 pandemic has exacerbated existing healthcare inequities.
  • Understanding implicit bias is crucial for equitable pediatric care.

Purpose of the Study:

  • To highlight the role of implicit bias in pediatric health disparities during the COVID-19 pandemic.
  • To recommend strategies for reducing the impact of implicit bias in pediatric care.
  • To address the influence of implicit bias on marginalized youth and families.

Main Methods:

  • Topical review of recent literature on implicit bias.
  • Analysis of implicit bias in pediatric healthcare settings.
  • Examination of the impact of COVID-19 on healthcare provider bias.

Main Results:

  • Pediatric provider implicit bias mirrors general population levels.
  • Implicit bias negatively affects clinical decisions and outcomes for marginalized youth.
  • COVID-19 pandemic-related stress may increase provider susceptibility to implicit bias.

Conclusions:

  • Implicit bias can exacerbate health disparities, particularly under pandemic conditions.
  • Strategies for mitigating implicit bias exist at individual, institutional, educational, and research levels.
  • Pediatric psychologists should address implicit bias to reduce health disparities for marginalized youth.
Abstract

Keywords:
chronic illnesshealth disparities and inequitieshealth promotion and prevention

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