<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Camille Duveau</style></author><author><style face="normal" font="default" size="100%">Stéphanie Demoulin</style></author><author><style face="normal" font="default" size="100%">Marie Dauvrin</style></author><author><style face="normal" font="default" size="100%">Vincent Lorant</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Implicit and explicit ethnic biases in multicultural primary care: the case of trainee general practitioners</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Primary Care</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Cultural competence</style></keyword><keyword><style  face="normal" font="default" size="100%">discrimination</style></keyword><keyword><style  face="normal" font="default" size="100%">GENERAL PRACTITIONER</style></keyword><keyword><style  face="normal" font="default" size="100%">Implicit association test</style></keyword><keyword><style  face="normal" font="default" size="100%">Ingroup relationship</style></keyword><keyword><style  face="normal" font="default" size="100%">Migrant health</style></keyword><keyword><style  face="normal" font="default" size="100%">Racial bias</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2022</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">23</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p class=&quot;rtejustify&quot;&gt;Background: General Practitioners (GPs) are the first point of contact for people from ethnic and migrant groups&lt;br&gt;
who have health problems. Discrimination can occur in this health care sector. Few studies, however, have investigated&lt;br&gt;
implicit and explicit biases in general practice against ethnic and migrant groups. This study, therefore, investigated&lt;br&gt;
the extent of implicit ethnic biases and willingness to adapt care to migrant patients among trainee GPs, and&lt;br&gt;
the factors involved therein, in order to measure explicit bias and explore a dimension of cultural competence.&lt;br&gt;
Methods: In 2021, data were collected from 207 trainee GPs in the French-speaking part of Belgium. The respondents&lt;br&gt;
passed an Implicit Association Test (IAT), a validated tool used to measure implicit biases against ethnic groups.&lt;br&gt;
An explicit attitude of willingness to adapt care to diversity, one of the dimensions of cultural competence, was measured&lt;br&gt;
using the Hudelson scale.&lt;br&gt;
Results: The overwhelming majority of trainee GPs (82.6%, 95% CI: 0.77 – 0.88) had implicit preferences for their&lt;br&gt;
ingroup to the detriment of ethnic and migrant groups. Overall, the majority of respondents considered it the&lt;br&gt;
responsibility of GPs to adapt their attitudes and practices to migrants’ needs. More than 50% of trainee GPs, however,&lt;br&gt;
considered it the responsibility of migrant patients to adapt to the values and habits of the host country.&lt;br&gt;
Conclusions: This study found that the trainee GPs had high to very high levels of implicit ethnic bias and that they&lt;br&gt;
were not always willing to adapt care to the values of migrants. We therefore recommend that they are made aware&lt;br&gt;
of this bias and we recommend using the IAT and Hudelson scales as educational tools to address ethnic biases in&lt;br&gt;
primary care.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">91</style></issue></record></records></xml>