残疾和叙事医学:挑战和机遇
Elisabeth Guthrie1,2, Rita Charon2
1New York State Psychiatric Institute, New York, NY, USA.
Developmental medicine and child neurology
|June 30, 2023
概括
叙事医学培训可以改善医疗保健提供者对残疾患者的态度. 这种方法促进了同理心和自我反思,解决了能力主义问题,并加强了对残疾人的照顾.
科学领域:
- 医学教育 医学教育
- 关于残疾人的研究.
- 医疗保健 公平 医疗保健 公平
背景情况:
- 对于残疾人的医疗保健远远低于非残疾人的医疗保健.
- 负面提供者偏见,称为"能力主义",是公平医疗保健的主要障碍.
- 改善残疾人群体医疗保健的现有努力一直面临着持续的障碍.
研究的目的:
- 探索叙事医学作为一个教学工具,以解决负面提供者偏见和能力主义.
- 提高医疗保健提供者理解和满足残疾患者需求的能力.
- 培养医疗保健学生关于残疾的同情心和自我反思.
主要方法:
- 利用叙事医学原则,包括吸收,写作和分享不同患者的观点.
- 专注于培养学生对同情倾听和批判性自我反思的能力.
- 整合体验式学习以促进对残疾经验的理解.
主要成果:
- 叙事医学在医疗保健学生中培养想象力和同情心.
- 该方法促进了对提供者偏见的自我反思,包括能力主义.
- 学生表现出一种丰富的理解和尊重残疾患者的能力.
结论:
- 叙事医学作为一种有效的教学工具,可以改善医疗保健提供者对残疾患者的态度.
- 这种方法有助于提供者更好地倾听和反思残疾患者的经历.
- 实施叙事医学可以有助于减少残疾人的医疗保健不平等.
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