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一般外科住院经验:多中心研究种族/种族健康差异
Anya L Greenberg1, Jenny R Cevallos1, Feyisayo M Ojute1
1From the Department of Surgery, University of California San Francisco, San Francisco, CA.
概括
在整体外科医生中存在健康的种族和种族差异,有色人种居民报告的繁荣程度较低,焦虑程度较高. 了解这些差异对于改善外科培训和医生表现至关重要.
科学领域:
- 医学教育 医学教育
- 医生福祉 医生福祉
- 健康差异 在健康上的差异
背景情况:
- 医生福祉显著影响医疗保健结果,患者体验和经济学.
- 在外科培训中,关于种族/种族和福祉的研究有限.
研究的目的:
- 为了探索一般外科住院医生的幸福感的种族/民族差异.
- 评估影响福祉的因素,包括弹性和风险因素.
主要方法:
- 在16个学术普通外科课程的住院医生接受在线问卷调查.
- 关于种族/民族身份,性别,研究生年 (PGY) 和差距年的自我报告数据.
- 评估全球福利 (繁荣) 和弹性和风险因素.
主要成果:
- 与白人居民相比,有色人种居民 (ROC) 报告说,与白人居民相比,繁荣程度显著降低,焦虑程度更高.
- 在医学中代表不足 (UIM) 的居民比在医学中代表过多 (OIM) 的居民体验到更低的情绪疲劳和非个性化.
- 在对性别,PGY水平和差距年进行调整后,差距仍然存在.
结论:
- 根据种族/种族和UIM/OIM地位,居民福祉存在显著差异.
- 对于ROC的经验并不统一,需要细微的理解.
- 解决系统性种族主义和手术培训中的差异需要对福祉贡献者的更深入的洞察.
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