将关于种族主义和健康平等的讨论纳入临床推理会议的讨论
Bianca R Argueza1, Elisabeth S Young2, Laura Deering1
1Department of Pediatrics (BR Argueza, L Deering, M Fran co, A Edwell, and D McBride), University of California, San Francisco.
Academic pediatrics
|August 11, 2023
概括
在临床推理会议上讨论种族主义和健康平等提供了一种有意义的方式来实践在患者护理中的反种族主义方法. 这些会议是可行的,并被居民接受,尽管黑人,土著和有色人种 (BIPOC) 居民希望白人同龄人更多地参与其中.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 医学中的反种族主义.
背景情况:
- 临床推理会议对于医学培训至关重要.
- 整合关于种族主义和健康平等的讨论可以增强临床实践.
- 了解居民对这些讨论的看法对于有效实施至关重要.
研究的目的:
- 评估在临床推理会议上讨论种族主义和健康公平的意义,以实践反种族主义方法.
- 评估在居住计划中实施此类讨论的可行性.
- 确定这些讨论在黑人,土著和有色人种 (BIPOC) 和白人居民之间是否可接受.
主要方法:
- 在儿科住院计划中,进行了四次试点临床推理会议会议.
- 经过培训的教师促进了讨论,重点是缓解临床病例中的不平等.
- 用接地理论分析了与BIPOC和白人居民的焦点组.
主要成果:
- 讨论提供了一个有意义的机会,以识别和解决患者护理中的种族主义.
- 教师的协助提高了这些敏感对话的可行性.
- 无论是BIPOC还是白人居民,都认为这些会议是有益的,并希望它们继续进行,而BIPOC居民希望在白人同龄人中获得更大的参与.
结论:
- 将关于种族主义和健康平等的讨论纳入临床推理会议是促进反种族主义实践的有意义,可行和可接受的策略.
- 这些会议为居民提供了一个有价值的平台,以发展对健康差异的批判性视角.
- 可能需要进一步的战略来加强不同居民群体之间的参与和合作.
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