在一个单一的学术中心使用全面规划过程解决结构性种族主义问题
Eve J Higginbotham1, Kya Hertz1, Corrinne Fahl1
1Perelman School of Medicine, Office of the Dean, Department of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Health equity
|September 21, 2023
概括
一个战略过程通过解决系统性种族主义,成功启动了学术医疗系统的文化转型. 关键行动包括利益相关者参与,并为持久变革制定框架.
科学领域:
- 健康 公平 卫生 公平
- 组织行为 组织行为
- 医学教育 医学教育
背景情况:
- 美国的系统性种族主义,由乔治·弗洛伊德的谋杀事件凸显出来,需要在学术医疗中心进行文化转型.
- 学术医疗机构面临着应对和拆除普遍存在的系统性种族主义的压力.
研究的目的:
- 评估旨在促进学术医疗系统内的文化转型的战略过程的有效性.
- 评估结构化方法对解决医疗保健环境中的系统性种族主义的影响.
主要方法:
- 一个为期13个月的全面战略规划过程,涉及各种利益相关者,调查和市政厅.
- 制定一个战略框架,包括可操作的项目和一个平衡的成绩单,用于进度监测.
- 多样性参与调查 (DES) 的管理.实施后18个月.
主要成果:
- 超过96%完成了无意识偏见教育和76%完成了"只是做它"的行动项目.
- DES表明组织文化中的"尊重"得到了改善.
- 64%的受访者证实,采取的行动是针对内部和外部的种族主义.
结论:
- 一个共同的目标,利益相关者参与,以及一个战略框架对于启动文化变革至关重要.
- 赋予利益相关者实施变革的权力对于解决结构性种族主义至关重要.
- 实施的战略在促进文化转型和解决种族主义方面表现出有效性.
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