在精神病医院住院建筑和单位分配中存在种族和民族不平等
Timothy I Michaels1, Elsa Thomas2, Joseph M Flaxer2
1Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA; Division of Psychiatry Research, The Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA; The Donald and Barbara Zucker School of Medicine, Hofstra/Northwell, Hempstead, NY, USA.
Psychiatry research
|November 13, 2023
概括
在精神病医院的住院病人的分配中存在种族不平等. 彩色患者不太可能被安置在新的,资源更好的医院建筑中,这表明结构性种族主义影响了护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
- 健康 公平 卫生 公平
背景情况:
- 种族主义是心理健康的重要社会决定因素.
- 种族差异对有色人种的精神病医院住院患者产生负面影响.
- 医院建筑资源和环境的差异促使对种族不平等的调查.
研究的目的:
- 调查不同医院大楼的病人分配的种族不平等.
- 为了确定种族背景是否会影响到不同资源的设施中的安置.
- 检查结构性种族主义对临床护理分配的影响.
主要方法:
- 分析了六年来超过18,000名患者的档案电子病历数据.
- 层次逻辑回归用于分析建筑分配 (旧与新).
- 非西班牙裔白人患者作为对比的参考组.
主要成果:
- 黑人,西班牙裔/拉丁裔和亚洲患者不太可能被分配到新的,资源更好的建筑.
- 当专注于一般成人单位时,黑人和西班牙裔/拉丁裔患者被分配到新建筑的可能性较小.
- 在将患者分配到具有不同临床和物理条件的建筑物中,发现了显著的种族差异.
结论:
- 调查结果表明,结构性种族主义有助于精神病医院住院患者分配的不平等.
- 医院系统必须批判性地检查患者安置流程.
- 解决结构性种族主义对于实现公平的心理健康护理至关重要.
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