讨论和教导关于种族和健康不平等的问题
Arun Kannappan1, Elizabeth Batchelor2, Hugo Carmona3
1Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado School of Medicine.
Chest
|December 9, 2023
概括
医学中的健康不平等不成比例地影响种族少数群体. 这篇论文主张转向种族意识医学,强调社会决定因素和系统因素,而不是有缺陷的生物种族概念.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 肺部医学 肺部医学
背景情况:
- 在医疗机构中,健康不平等和不平等是普遍存在的,通常与种族有关.
- 从历史上看,种族一直被错误地用于医学中的生物推断,忽视了健康的社会决定因素.
- 专业人士正在向健康公平和种族意识医学转变,远离基于种族的医学叙述.
研究的目的:
- 解决临床医师教育者对健康不平等的教学和参与学习者的需求.
- 以精神测量中的种族纠正作为案例研究,将讨论集中在健康平等上.
- 为医疗教育和临床环境中实施健康公平概念提供战略.
主要方法:
- 审查健康公平的基本定义和概念.
- 应用三种策略来参与公平对话:学习/反思,识别/命名不平等,以及角色建模公平意识的语言.
- 总结将健康公平纳入医学教育和临床环境的方法.
主要成果:
- 鉴定了螺旋计中的种族校正作为肺部医学和解的关键领域.
- 概述了教育工作者和临床医生讨论和解决健康不平等问题的实际策略.
- 为整个医疗培训中实施健康公平原则提供了一个框架.
结论:
- 医学教育必须积极纳入健康公平和种族意识的原则.
- 解决系统性种族主义和社会决定因素对于减少健康差距至关重要.
- 临床医师教育者在促进公平的医疗环境方面发挥着至关重要的作用.
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