五种方法 医疗保健对肥胖的人来说可能更好
1Instructor at the University of Winnipeg and an associate member of the Faculty of Graduate Studies and an adjunct professor in the Faculty of Health Studies at Brandon University in Manitoba, Canada.
AMA journal of ethics
|July 11, 2023
概括
医疗保健必须通过检查薄型中心主义和权力动态来解决基于体重的耻辱和排斥. 改善对肥胖个体的护理需要解决卫生系统中支持和代表性不足的根本原因.
科学领域:
- 医学社会学 医学社会学
- 健康 公平 卫生 公平
- 临界脂肪研究 临界脂肪研究
背景情况:
- 对肥胖个体的医疗保健住宿通常侧重于减少耻辱和改进设备.
- 这些努力忽视了更深层次的问题,如薄型中心主义,肥胖的病理化以及领导层的代表性不足.
- 基于体重的排除显著影响临床相互作用和患者护理.
研究的目的:
- 分析基于体重排斥在医疗保健中的意识形态基础.
- 描述基于体重的压迫如何在临床环境中表现为功能障碍的权力动态.
- 提出加强临床关系和改善对肥胖患者的护理的策略.
主要方法:
- 对现有的关于体重耻辱和医疗保健的文献进行批判性分析.
- 检查临床实践中的权力差异和意识形态基础.
- 基于体重的排斥在医疗保健机构的定性探索.
主要成果:
- 瘦身中心主义和肥胖的病理化是核心的意识形态问题.
- 领导层中肥胖个体的代表性不足加剧了排斥.
- 基于体重的压迫造成了临床医生和患者之间功能障碍的权力分享.
结论:
- 解决基于权重的排斥需要面对系统性的薄中心主义和权力不平衡.
- 改善肥胖者的医疗保健需要挑战潜在的偏见并促进公平的代表性.
- 战略应侧重于改变临床关系和拆除压迫性结构.
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