黑人癌症患者在种族歧视的医疗保健系统中进行导航
Elleyse Garrett1, Cindy Ma1, Carol Y Ochoa-Dominguez1,2
1Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, USA.
Journal of the National Cancer Institute
|October 18, 2023
概括
黑人癌症患者在医疗保健机构中经常经历种族歧视,这影响了他们的信任和寻求护理的行为. 这种普遍存在的问题导致了癌症发病率的显著种族差异.
科学领域:
- 在瘤学瘤学.
- 健康差距 研究 研究 研究 研究
- 社会医学科学 社会医学科学
背景情况:
- 在医疗保健机构的种族歧视可能会加剧癌症治疗差异.
- 了解患者的体验对于解决这些不平等问题至关重要.
研究的目的:
- 探索黑人癌症患者在医疗保健中如何经历种族歧视.
- 确定这种歧视对癌症护理差异的贡献.
主要方法:
- 对18名黑人癌症幸存者的半结构深度访谈进行了定性分析.
- 2019年5月至2020年3月期间进行的采访.
- 使用Dedoose软件对转录的采访进行主题分析.
主要成果:
- 大多数黑人癌症幸存者报告说,他们经历了各种医疗保健工作人员和管理人员的种族歧视.
- 歧视表现为根植于种族刻板印象的口头侮辱 (例如",你们").
- 经验侵蚀了医疗保健系统的可信度,导致一些患者在没有解决方案的情况下离开诊所,但由于必要性仍在寻求护理.
结论:
- 医疗保健中的种族歧视普遍存在,并对患者行为和患者与临床医生的关系产生负面影响.
- 这种歧视可能是癌症护理中持续存在的种族差异的一个原因.
- 解决歧视问题对于改善黑人癌症患者的癌症护理平等至关重要.
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