عنوان انگلیسی مقاله:
Judging health care priority in emergency situations: Patient facial appearance matters
ترجمه فارسی عنوان مقاله:
قضاوت در مورد اولویت مراقبت های بهداشتی در مواقع اضطراری: ظاهر چهره بیمار اهمیت دارد
Sciencedirect - Elsevier - Social Science & Medicine, 260 (2020) 113180. doi:10.1016/j.socscimed.2020.113180
Arianna Bagnisa,∗, Ernesto Caffob, Carlo Cipollia, Alessandra De Palmac, Gabriele Farinad, Katia Mattarozzia
Rationale: Extensive research has shown that implicit trait inferences from facial appearance can bias everyday
life in a pervasive way, influencing our decisions in different social contexts such as mate choice, political vote
and criminal sentence. In situations characterized by time pressure and scant information, decisions based on
inferences from facial appearance may have particularly critical and serious consequences, such as in emergency
healthcare. No studies today have investigated this aspect in an actual emergency.
Objective: The aim of the present study was to go beyond this gap and to determine whether implicit inferences
from patients’ facial appearance could be predictive of disparities in clinical evaluations and priority of treatment.
Methods: In total, 183 cases of patients were evaluated by independent judges at zero acquaintance on the
basis of different implicit facial appearance-based inferences, including trustworthiness and distress. Color-based
priority code (White, Green, or Yellow) attributed by the triage nurse at the end of the registration process were
Results: Our results showed that more trustworthy- and distressed- looking patients faces have been associated
with a higher priority code.
Conclusions: The present study shows that specific facial appearance-based inferences influence the attribution
of priority code in healthcare that require quick decisions based on scarce clinical information such as in
emergency. These results suggest the importance to bring to the attention of the healthcare professionals’ the
possibility of being victims of implicit inferences, and prompt to design educational interventions capable to
increase their awareness of this bias in clinical evaluation.
Keywords: Face perception | Facial appearance | First impression | Implicit bias | Healthcare | Emergency | Social cognition