Black Patients More Likely Than Whites to Be Described by Physicians in Negative Terms

A new study by researchers at the University of Chicago found that Black patients were 2.54 times as likely to have at least one negative descriptor in their medical records compared to White patients. Other groups more likely to have negative descriptors included patients on government insurance such as Medicare or Medicaid and those who were unmarried.

Researchers searched the electronic health records of over 18,000 adult patients, including over 40,000 history and physical notes. They defined a list of negative descriptors that included terms such as aggressive, combative, defensive, hysterical, and resistant. Using natural language-processing techniques, they were able to parse out the contexts in which these words were used to negatively describe patients or their behaviors. When compared to demographically matched White patients, Black patients were more than twice as likely to be described in their charts using some of these negative terms.

“The language we use can exacerbate existing health disparities,” said Michael Sun, first author on the study and a third-year student at the University of Chicago Pritzker School of Medicine. “Patients can see these notes and if they see that they’ve been identified as being defensive or angry, they might not come back to see that provider again. Or, they might not feel empowered to speak up regarding their health care needs out of a fear of being viewed negatively by their providers.”

Sun added that “everyday bias is happening in our world, whether people know it or not. This work helps to show what biases exist, even within institutions and professions that are striving to be good. These biases affect patient care and they matter to the patients. As physicians, we come from a position of privilege and power. It’s our responsibility to advocate for our patients and enact change within our own organizations.”

The full study, “Negative Patient Descriptors: Documenting Racial Bias In The Electronic Health Record,” was published on the website of the journal Health Affairs. It may be accessed here.

Related Articles

2 COMMENTS

  1. This rudimentary research findings just further confirms and validates the innate racist proclivities White, Asian, and Latino physicians have towards native born Black Americans regardless of where they received their little MD degree from. The facts remain, similar claims can very easily be made in every other arena within a US context in the 21st century.

Leave a Reply

Get the JBHE Weekly Bulletin

Receive our weekly email newsletter delivered to your inbox

Latest News

Online Articles That May Be of Interest to JBHE Readers

Each week, JBHE will provide links to online articles that may be of interest to our readers. Here are this week’s selections.

University of Wisconsin-Milwaukee Establishes New Research Center to Address Segregation in Local Area

The new Center for Equity Practice and Planning Justice at the University of Wisconsin-Milwaukee aims to study the history of racial segregation in the local area and advance racially equitable practices in urban planning.

Recent Books of Interest to African American Scholars

The Journal of Blacks in Higher Education regularly publishes a list of new books that may be of interest to our readers. The books included are on a wide variety of subjects and present many different points of view.

How Early Childhood Education Affects Black Children’s Future Success

Over the past fifty years, a team of researchers have tracked 104 predominately Black participants from infancy to adulthood to determine how early childhood education affects their long term outcomes. Although they received the same education, Black boys had significantly lower cognitive scores than Black girls once they reached high school and beyond.

Featured Jobs