麻醉学中的公平,多样性和包容性:一本入门书
Miriam Mottiar1,2, Drew Burchell3,4, Hilary MacCormick3,4
1Department of Anesthesiology & Pain Medicine, University of Ottawa, The Ottawa Hospital, Ottawa, ON, Canada. mmottiar@toh.ca.
概括
加拿大的麻醉学在加拿大面临着持续的歧视,影响提供者和患者,来自寻求公平的团体. 解决这些不平等问题对于一个公正的医疗保健系统至关重要.
科学领域:
- 麻醉学 麻醉学
- 医疗保健 公平 医疗保健 公平
- 医学社会学 医学社会学
背景情况:
- 基于身份 (性别,性别,种族,民族,性取向,能力等) 的歧视. 越来越多地被医学界认可.
- 对麻醉科医生和来自寻求公平的群体的患者的歧视的后果是显著的,但尚未完全理解.
- 目前关于加拿大麻醉工作人员人口统计数据和来自寻求公平利益的群体的患者观点的数据有限.
研究的目的:
- 概述加拿大麻醉学的当前人口统计数据.
- 描述来自寻求公平的团体的麻醉师的经验.
- 为了确定影响患者的医疗保健经验的因素,从寻求公平的群体在外科手术前,疼痛和产科护理.
主要方法:
- 对现有文献进行系统审查.
- 对人口统计数据的分析 (如有).
- 患者和提供者经验的定性综合.
主要成果:
- 对于在外科手术前的种族化个体,女性,LGBTQIA+个体和残疾人而言,存在显著的健康差异.
- 关于国家麻醉工作人员人口统计和患者经验的数据有限.
- 歧视和不平等是加拿大医疗保健系统中持续存在的问题.
结论:
- 歧视和不平等继续影响加拿大医疗保健系统.
- 需要积极努力来打击这些不平等.
- 创建一个更公正和公平的医疗保健系统是一个持续的必要条件.
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