以系统为中心的护理:官僚主义和种族化如何降低对以个人为中心的心理健康护理的尝试
Miraj U Desai1,2, Nadika Paranamana3, John F Dovidio4,5
1Program for Recovery and Community Health, Yale School of Medicine.
概括
这项研究揭示了心理健康组织的结构如何导致客户被客观化,无论是种族还是官僚主义. 它强调了影响护理的系统偏见,以及工作人员在延续这些偏见中的作用.
科学领域:
- 心理学科学 心理学科学
- 卫生社会学 卫生社会学
- 医疗保健管理的管理
背景情况:
- 以人为中心的护理是一个新兴的全球卫生框架.
- 心理健康组织在实施以患者为中心的方法方面面临挑战.
- 机构结构可以显著影响临床操作和患者体验.
研究的目的:
- 探索心理健康组织内部的结构性偏见.
- 了解这些偏见如何影响以人为中心的护理.
- 在机构环境中识别客户客观化的机制.
主要方法:
- 组织结构和临床操作的定性分析.
- 探索对客户护理的系统影响.
- 检查与机构议程有关的员工感知和行为.
主要成果:
- 机构结构可能导致客户被系统地客观化为种族化或官僚化的实体.
- 种族概况可以决定所获得的护理质量.
- 一种被称为"官僚思维"的现象出现了,员工无意中制定了系统偏见.
- 一些提供者积极抵制这些客观化动态.
结论:
- 心理健康组织的结构性偏见对以人为中心的护理构成重大风险.
- 客观化,无论是种族还是官僚主义,都会使客户失去人性.
- 需要进一步的研究来解决心理科学中的制度性种族主义和偏见.
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