Origins of Racial and Ethnic Bias in Pulmonary Technologies.

IF 15.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL
Michael W Sjoding, Sardar Ansari, Thomas S Valley
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引用次数: 4

Abstract

Understanding how biases originate in medical technologies and developing safeguards to identify, mitigate, and remove their harms are essential to ensuring equal performance in all individuals. Drawing upon examples from pulmonary medicine, this article describes how bias can be introduced in the physical aspects of the technology design, via unrepresentative data, or by conflation of biological with social determinants of health. It then can be perpetuated by inadequate evaluation and regulatory standards. Research demonstrates that pulse oximeters perform differently depending on patient race and ethnicity. Pulmonary function testing and algorithms used to predict healthcare needs are two additional examples of medical technologies with racial and ethnic biases that may perpetuate health disparities.

肺技术中种族和民族偏见的起源。
了解偏见是如何在医疗技术中产生的,并制定识别、减轻和消除其危害的保障措施,对于确保所有人的平等表现至关重要。本文以肺部医学为例,描述了如何通过不具代表性的数据,或通过将健康的生物决定因素与社会决定因素合并,在技术设计的物理方面引入偏见。然后,不充分的评估和监管标准可能会使其永久化。研究表明,脉搏血氧仪的表现因患者的种族而异。肺功能测试和用于预测医疗保健需求的算法是另外两个带有种族和民族偏见的医疗技术的例子,这些偏见可能使健康差距永久化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annual review of medicine
Annual review of medicine 医学-医学:内科
CiteScore
24.90
自引率
0.00%
发文量
58
期刊介绍: The Annual Review of Medicine, which has been published since 1950, focuses on important advancements in diverse areas of medicine. These include AIDS/HIV, cardiology, clinical pharmacology, dermatology, endocrinology/metabolism, gastroenterology, genetics, immunology, infectious disease, neurology, oncology/hematology, pediatrics, psychiatry, pulmonology, reproductive medicine, and surgery. The journal's current volume has transitioned from a gated access model to an open access model through the Annual Reviews' Subscribe to Open program. All articles published in the journal are now available under a CC BY license.
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