医学学生的移民偏见:一个随机对照试验
Jürgen Grafeneder1, Andjela Baewert2, Henri Katz2
1Department of Emergency Medicine, Medical University of Vienna.
概括
医学学生在给移民服用止痛药时没有表现出偏见. 然而,他们不太可能为移民患者开强效止痛药,强调需要移民偏见培训.
科学领域:
- 医疗教育 医学教育
- 健康差异 在健康上的差异
- 疼痛管理 疼痛管理
背景情况:
- 医疗保健中的种族偏见在医生和医学学生中得到了记录.
- 在全球范围内,移民面临类似于种族少数群体的挑战,但对他们的偏见可能更为微妙.
- 目前还没有关于欧洲大量移民人口的潜在偏见的数据.
研究的目的:
- 调查医学学生对移民患者的潜在偏见.
- 评估移民身份是否会影响止痛药的使用和强度的决定.
- 检查医学学生在疼痛管理中的性别差异.
主要方法:
- 一个随机对照试验,涉及第二年医学学生.
- 学生们被分配观看不同性别和移民身份的患者视频.
- 结果包括止痛药的使用,强度和疼痛强度等级,通过后勤回归分析.
主要成果:
- 移民身份没有影响接受止痛药的可能性 (两组均为95%).
- 移民接受高强度止痛药的可能性较低 (26%对33%).
- 女学生更有可能给予止痛药,疼痛率更高.
结论:
- 医学学生在基于移民身份的止痛药处方方面没有表现出任何偏见.
- 对于移民处方高强度止痛药的可能性降低,观察到一个偏差.
- 这些发现强调了将移民偏见意识纳入医学教育课程的必要性.
更多相关视频
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.5K
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
相关概念视频
Bias in Epidemiological Studies
349
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
349
Group Design
9.0K
The most basic experimental design involves two groups: the experimental group and the control group. The two groups are designed to be the same except for one difference— experimental manipulation. The experimental group gets the experimental manipulation—that is, the treatment or variable being tested—and the control group does not. Since experimental manipulation is the only difference between the experimental and control groups, we can be sure that any differences between...
9.0K
Randomized Experiments
7.0K
The randomization process involves assigning study participants randomly to experimental or control groups based on their probability of being equally assigned. Randomization is meant to eliminate selection bias and balance known and unknown confounding factors so that the control group is similar to the treatment group as much as possible. A computer program and a random number generator can be used to assign participants to groups in a way that minimizes bias.
Simple randomization
Simple...
Simple randomization
Simple...
7.0K
Surveys
14.8K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
14.8K
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Blind Procedures
10.7K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.7K
