辐射诱导皮肤反应毒性评分中的结构性种族主义
1Radiotherapy, the Royal Marsden NHS Foundation Trust, London, UK.
Journal of medical imaging and radiation sciences
|October 13, 2023
概括
目前的放射治疗工具无法准确评估有色人种的辐射诱导皮肤反应 (RISR). 这种监督,植根于隐含的偏见,需要包容性的评估方法,以获得公平的癌症护理.
科学领域:
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
- 健康 公平 卫生 公平
背景情况:
- 在医疗保健中隐含的种族偏见可能导致患者护理的差异.
- 目前用于评估辐射诱导皮肤反应 (RISR) 的方法主要针对较浅的皮肤色调而设计.
- 这种缺乏包容性不成比例地影响着有色人种.
研究的目的:
- 突出现有的放射治疗同意表格和分级工具的不足,用于评估有色素皮肤的人的RISR.
- 倡导在放射性瘤学中开发和实施包容性术语和评估方法.
- 解决结构性种族主义和种族化神话,这些神话使有色人种的医疗保健差距永久化.
主要方法:
- 本评论分析了与RISR评估相关的现有文献和临床实践.
- 它确定了视觉线索 (例如,红色) 的局限性,用于检测在较深色皮肤色调上的RISR.
- 它讨论了这些限制对患者护理和结果的影响.
主要成果:
- 对RISR的标准视觉评估,例如红色,对于有色人种来说通常是无效的.
- 皮肤色调较深的个体的皮肤变化可能呈现为变黑或其他颜色谱变化,这些变化经常被忽视.
- 目前的方法使癌症治疗和护理中的不平等持续下去.
结论:
- 放射治疗评估工具和术语必须修订,以包括所有肤色.
- 医疗保健专业人员需要对识别RISR的教育,在多样化的皮肤颜色谱中进行识别.
- 采用包容性实践对于拆除医疗保健中的结构性种族主义和确保接受放射治疗的有色人种获得公平护理至关重要.
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