Publication: AN EXPLORATION OF POTENTIAL DISPARITIES IN PHYSICAL THERAPISTS’ DECISIONS BASED ON RACE AND ETHNICITY OF PATIENTS
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Date
2026-04-16
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Type
Poster
Abstract
Background/Purpose: Research shows that health care providers exhibit evidence of implicit bias when treating non-white patients. Most existing evidence is concerned with medicine and nursing, while very few studies have been conducted on physical therapists (PTs). Thus, the purpose of this study was to explore the presence of racial or ethnic bias in PT decisions.
Methods: A vignette-based survey was created and distributed via email to licensed PTs within the Husson University Clinical Instructor database. The vignette described a patient with shoulder pathology who was receiving care in an out-patient PT setting. Three versions of this vignette were used which were identical except for the patient’s name and an AI-generated image. The variations were intended to represent three distinct racial or ethnic identities, though these were not explicitly stated. One patient appeared to be white, while the other two appeared to be non-white minorities. Participants responded to questions regarding prognosis, plan of care, treatments, expected outcomes, and recommended referrals. Data were analyzed using Fisher’s Exact Test for frequency comparisons.
Results: Thirty-eight out of 331 recipients completed the survey, yielding three groups of respondents based on the case each person received. Participants were primarily from the Northeastern region of the USA, with 92% identifying as white. The analysis revealed no statistically significant differences among the groups in all measures assessed. However, two interesting trends were noted. Minority patients were most associated with expectations of longer duration of care and were the least often referred to an orthopedic specialist after limited progress.
Conclusion: In this survey, PTs displayed no disparities based on patient race or ethnicity when recommending treatment for shoulder pathology in an out-patient setting. This differs from a large body of literature showing disparities in other health care disciplines, but is mostly consistent with one other similar survey of PTs.