4.8 • 861 Ratings
🗓️ 19 September 2024
⏱️ 45 minutes
🧾️ Download transcript
Race has long been a factor in how doctors approach diagnoses— removing it has proved a challenge. Katie Palmer, Health Tech Correspondent for Stat News, joins host Krys Boyd to discuss the bias baked into medicine for decades, how it contributes to system disparities, and why the work to change it is so difficult. Her series “Embedded Bias” is written with co-author Usha Lee McFarling.
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0:00.0 | When somebody needs a kidney transplant and they don't have a matching donor lined up, they join a waiting list. |
0:15.9 | We understand those lists might prioritize people depending on the state of their health. |
0:20.1 | But it doesn't seem |
0:21.3 | right that among the criteria that might play into when or even if someone ever qualifies for |
0:27.4 | a donated organ is the color of their skin. From KERA in Dallas, this is think. I'm Chris Boyd. What is |
0:35.2 | especially insidious about disparities in outcomes based on a patient's racial identity |
0:39.8 | is that they can happen regardless of whether the professionals caring for those patients hold racist beliefs. |
0:46.8 | Often they are baked into diagnostic formulas designed to help physicians choose the proper course of treatment, |
0:52.3 | literally taught to young doctors in |
0:54.7 | training, and now perpetuated potentially by algorithms that were supposed to lead to better |
0:59.8 | care, including sparing patients unnecessary treatments. |
1:04.0 | Journalist Katie Palmer has been looking into this for Stat News, where she's a health |
1:08.3 | tech correspondent. Her series, written in collaboration with |
1:11.7 | National Science Correspondent Ushali McFarling, is called Embedded Bias. Katie, welcome to think. |
1:17.9 | Thanks, Chris. Let's start with something that sounds like it would be a relatively routine thing |
1:22.4 | to diagnose, which is urinary tract infections in children. Doctors at some hospitals use these like mathematical formulas to work in some ways, I guess, |
1:32.8 | like a magazine quiz, right, at a point for this, subtract a point for that. |
1:36.8 | And a particular numerical score suggests a certain standard of care. |
1:41.6 | Will you tell us a little bit about that? |
1:44.1 | Sure. I mean, for several years, starting in 2011, the American Academy of Pediatrics has included |
1:50.9 | race as part of its guidelines for treating urinary tracts, sorry, not treating, but diagnosing |
1:55.7 | urinary tract infections, and really the youngest children. These are kids under two. And these are |
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