期刊
HEALTH AFFAIRS
卷 36, 期 11, 页码 1997-2004出版社
PROJECT HOPE
DOI: 10.1377/hlthaff.2017.0773
关键词
-
资金
- Imperial College-National Institute for Health Research (NIHR) Biomedical Research Centre (BRC) [WSSS-P61853]
Unconscious bias may interfere with the interpretation of research from some settings, particularly from lower-income countries. Most studies of this phenomenon have relied on indirect outcomes such as article citation counts and publication rates; few have addressed or proven the effect of unconscious bias in evidence interpretation. In this randomized, blinded crossover experiment in a sample of 347 English clinicians, we demonstrate that changing the source of a research abstract from a low-to a high-income country significantly improves how it is viewed, all else being equal. Using fixed-effects models, we measured differences in ratings for strength of evidence, relevance, and likelihood of referral to a peer. Having a high-income-country source had a significant overall impact on respondents' ratings of relevance and recommendation to a peer. Unconscious bias can have far-reaching implications for the diffusion of knowledge and innovations from low-income countries.
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