与黑人儿科患者及其护理人员建立信任和伙伴关系
Raquel S Garcia1, Taylor Hollis2, Juliana Baratta3
1Division of Primary Care and Population Health (RS Garcia, T Hollis, J Baratta, Z King, M Faulks, C Brown-Johnson, and DM Zulman), Department of Medicine, Stanford University School of Medicine, Palo Alto, Calif; Department of Medicine (RS Garcia), Duke University School of Medicine, Durham, NC.
Academic pediatrics
|September 2, 2023
概括
美国医疗保健中的系统性种族主义损害了黑人儿童. 文化定制的沟通策略可以改善护理,促进健康平等,并与黑人家庭建立信任.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 在医疗保健中的种族正义.
背景情况:
- 美国医疗保健中的系统性种族主义导致黑人儿科患者的结果更差.
- 临床医生的歧视性待遇和反黑人偏见使健康差异延续.
- 文化定制的沟通对于改善护理和促进公平是必不可少的.
研究的目的:
- 进行基于证据的沟通实践的范围审查.
- 确定改善黑人儿科患者及其护理人员护理的策略.
- 将这些做法与"种族正义的存在5"框架进行映射.
主要方法:
- 医学文献的综述. 医学文献的综述.
- 识别基于证据的沟通实践.
- 将实践映射到存在5的种族正义框架.
主要成果:
- 出现了三个横向主题:公正的实施,定制的护理和解决种族主义问题.
- 实践包括公平的建议和探索家庭的重要性.
- 承认健康系统的负面经验至关重要.
结论:
- 临床医生可以采用沟通实践来建立信任和赋权黑人家庭.
- 推实践促进临床护理中的种族正义.
- 未来的工作应该集中在系统层面的变化和患者/临床医生验证上.
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