临床医生隐含偏见培训的挑战和机遇:围产保健利益相关方的见解
Sarah B Garrett1, Linda Jones2, Alexandra Montague3
1Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, California, USA.
Health equity
|September 21, 2023
概括
临床医生的隐性偏见培训 (IBT) 在加利福尼亚州是强制性的,以改善黑人母亲的健康结果. 利益关方的意见揭示了有效IBT的挑战和建议,强调其与其他反种族主义努力一起的需要.
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
- 医学教育 医学教育
背景情况:
- 国家立法越来越多地要求医疗保健提供者接受抗生素或隐性偏见培训 (IBT),以解决健康不平等问题.
- 加利福尼亚州的"怀孕和分娩的尊严法"特别要求围产期临床医生进行IBT,以改善黑人妇女的结果.
- 关于有效的IBT方法来实现这些目标的证据仍然有限.
研究的目的:
- 通过基于社区的参与式研究,确定有效的临床医生IBT的关键挑战和建议.
- 通过吸引利益相关者的经验,为新兴IBT政策,课程和实施提供信息.
主要方法:
- 进行了一项基于社区的多方法参与式研究.
- 参与者包括最近在医院分娩的黑人妇女 (n=20) 和旧金山湾区的医院围产临床医生 (n=20).
- 数据收集涉及焦点小组和深度访谈,使用联合感应/演主题分析进行分析.
主要成果:
- 在州法律,IBT内容/格式,设施实施,环境和提供商承诺方面确定了可采取行动的挑战和建议.
- 患者和临床医生的见解显示了大量的重叠.
- 受访者表示,IBT在与其他反种族主义干预措施相结合时最有效.
结论:
- 利益相关者的洞察力为开发和实施有效的临床抗生素干预提供了关键指导.
- 这些建议涉及IBT的政策,课程开发和实际实施策略.
- 这些发现强调了需要采取多方面的方法来实现围产期护理中的健康公平.
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