医学で代表が不足している住民が直面する障壁のシステマティック・レビュー: ドナベディアン・フレームワーク分析
Michele L Heath1, Tawanda M Greer2, Tracy H Porter3
1Cleveland State University, 1860 E. 18thStreet, BU 430, Cleveland, OH, 44114, USA. m.heath@csuohio.edu.
Journal of racial and ethnic health disparities
|February 16, 2026
まとめ
人種・少数民族の医師は,医療在留期間中に,体系的な障壁や支援の欠如など,大きな課題に直面しています. これらの問題に対処することは,医師の多様性と患者のケアを改善するために不可欠です.
科学分野:
- 医療教育 医療教育について
- 健康の平等,健康の平等について
- 医療従事者の人材の多様性 医者の人材の多様性
背景:
- 医師の間の人種的,民族的多様性は,健康の平等と患者ケアにとって不可欠です.
- 有色人種の住民は過小評価されており,米国の医療在籍プログラムではユニークな課題に直面しています.
- これらの課題は,人材の維持やキャリアの進歩に影響を及ぼします.
研究 の 目的:
- 米国の医療入院プログラムにおける有色人種の住民の経験に関する文献を体系的にレビューする.
- ドナベディアン・フレームワークを使用して,構造的,プロセス関連,および成果に関する課題を特定します.
- カラー系住民を支援し,医学教育における公平性を推進するための戦略を策定する.
主な方法:
- 2012年1月から2024年12月までの4つのデータベース (Medline,CINAHL,Academic Search Complete,APA PsycInfo) の体系的なレビューについて.
- 入学基準:入学研修中に有色人種の住民が直面する課題を調査した研究.
- 862件の初期記録から選択された13件の研究 (11件の実証研究,2件のプログラムレビュー) の分析.
主要な成果:
- 特定された構造的障壁:リーダーシップにおける代表の不足,多様性に対する制度的コミットメントの不足.
- プロセスに関連する課題:評価の不平等,メンターシップの欠如.
- 結果:幸福感の低下,燃え尽き,消耗,ステレオタイプの脅威,インポスター現象.
結論:
- 有色人種の住民は,職業的発展を阻害し,不平等を永続させるような構造的,プロセス,結果的な課題に直面しています.
- 持続可能な多様性イニシアチブ,構造的なメンターシップ,包括的な学習環境は不可欠です.
- これらの課題に取り組むことは,有色人種の住民を支援し,医学教育における平等を促進するために不可欠です.
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