为遭受种族主义的年轻人提供安全和支持的医疗保健空间
Sarah J Atunah-Jay1, Sean Phelan2, Ashaunta T Anderson3
1Mayo Clinic Alix School of Medicine (SJ Atunah-Jay), Mayo Clinic College of Medicine and Science, Rochester, Minn.
Academic pediatrics
|January 20, 2024
概括
儿科患者在医疗保健机构中经历了种族主义,影响了他们的福祉. 本研究确定了基于临床的策略,为面临种族歧视的儿童创造更安全,更有支持的环境.
科学领域:
- 质量健康研究 质量健康研究
- 儿科健康公平性问题
- 基于社区的参与式研究
背景情况:
- 种族主义对儿童在生物,心理和行为领域的发展产生负面影响.
- 关于医疗保健专业人员在支持遭受种族歧视的儿科患者中的作用的研究有限.
- 医疗保健机构可以是儿童经历种族相关偏见和歧视的场所.
研究的目的:
- 了解儿科患者在医疗保健机构中的种族主义经历.
- 探索基于临床的干预措施,以支持遭受种族歧视的年轻人.
- 让社区合作伙伴参与所有研究阶段.
主要方法:
- 使用基于社区的参与式研究方法进行定性研究.
- 与年轻人 (11-18岁) 和他们的父母/监护人进行的重点小组.
- 参与者是有色人种,拉丁裔或土著年轻人,他们报告经历了与种族有关的偏见.
- 用于数据分析的解释性现象学分析.
主要成果:
- 确定了医疗保健机构种族主义的关键主题,包括患者-临床医生沟通和歧视经验.
- 引起的患者和家长/监护人的支持建议.
- 建议涉及种族主义的内部,人际,结构和机构领域.
结论:
- 医疗保健机构中的种族主义对儿童的运作构成重大风险.
- 调查结果强调了为遭受种族歧视的儿科患者增强医疗保健空间的机会.
- 开发支持性的基于诊所的策略对于儿童福祉至关重要.
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