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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Imagining Improved Interactions: Patients' Designs To Address Implicit Bias.

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  • 1University of Washington, Seattle, WA.

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Summary

Patient-centered interventions were co-designed with diverse communities to address implicit bias in healthcare. These informatics solutions empower patients to manage negative experiences with healthcare providers.

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Area of Science:

  • Health Informatics
  • Health Equity
  • Social Determinants of Health

Background:

  • Implicit biases from healthcare providers can negatively affect communication and care quality for marginalized communities.
  • Current interventions focus on provider education, neglecting patient perspectives and experiences.

Purpose of the Study:

  • To co-design patient-centered informatics interventions addressing provider implicit bias in primary care.
  • To incorporate firsthand experiences of Black, Indigenous, People of Color (BIPOC) and Lesbian, Gay, Bisexual, Transgender, Queer/Questioning (LGBTQ+) individuals.

Main Methods:

  • Seven participatory co-design workshops were conducted.
  • 32 individuals from BIPOC and LGBTQ+ communities collaborated in the design process.

Main Results:

  • Participants developed four categories of patient-centered solutions: accountability measures, real-time correction tools, patient enablement resources, and provider support materials.
  • The co-design process integrated patient perspectives into informatics intervention development.

Conclusions:

  • Patient-centered informatics interventions can empower individuals to address and recover from provider implicit bias.
  • This study highlights the importance of including diverse patient voices in developing healthcare interventions to improve equity.