疼痛管理中的种族差异:历史的恶性和公平的解决方案
Sarah J Garvick1, Joe Banz, Melissa Chin
1Sarah J. Garvick is associate director of the PA program at Wake Forest University School of Medicine in Winston-Salem, N.C., and practices at Women's Health of the High Country in Banner Elk, N.C. At the time this article was written, Joe Banz, Melissa Chin, Katie Fesler, Anna M. Olson, and Emily Wolff were students in the PA program at Wake Forest University School of Medicine. At the time this article was written, Tanya Gregory was an assistant professor in the PA program at Wake Forest University School of Medicine. The authors have disclosed no potential conflicts of interest, financial or otherwise.
由于历史上的误解和隐含的偏见,疼痛管理中的种族差异仍然存在. 通过政策变化和多元化的培训来解决这些问题,可以改善所有患者的公平疼痛护理.
科学领域:
- 医学研究 医学研究
- 卫生公平性健康公平性
- 疼痛管理 疼痛管理
背景情况:
- 历史医学文献延续了关于种族生物学差异影响疾病易感性和疼痛耐受性的神话.
- 过去在研究中对少数群体的剥削以及医疗保健专业人员之间持续的隐性偏见对患者护理产生了负面影响.
- 少数民族和白人患者之间疼痛评估和治疗的持续差异导致了不良的健康结果.
研究的目的:
- 突出种族偏见对疼痛管理的历史根源和当前影响.
- 倡导医疗保健政策和实践的系统变化,以确保公平的疼痛护理.
- 强调需要标准化实践,隐性偏见培训和劳动力多样性的需要.
主要方法:
- 历史医学文献和当代关于疼痛种族差异的研究的综述.
- 分析隐性偏见和政策对患者护理的影响.
- 找出潜在的解决方案,包括政策改革和多样性倡议.
主要成果:
- 关于基于种族的生物学差异的误解在历史上影响了医学实践.
- 目前在少数群体患者的疼痛评估和治疗方面的差异仍然很明显.
- 这些差异导致少数群体的健康状况较差.
结论:
- 通过培训解决隐性偏见和标准化疼痛管理协议是关键的步骤.
- 建立多元化的医疗保健工作人员可以帮助缓解种族差异.
- 实施这些变化对于实现所有个体的公平疼痛管理至关重要,不论种族.
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