一般外科的教科书和外科的差异
Peter A Borowsky1, Kyung Yoon2, Ajiri Eroraha2
1Wellstar Kennestone Regional Medical Center, Department of Surgery, Marietta, GA, United States.
Journal of the National Medical Association
|January 20, 2024
概括
一般外科的教科书不充分地解决种族差异,往往缺乏讨论种族主义或系统性原因. 未来的版本必须包括关于健康差异的全面部分,以改善对少数群体患者的护理.
科学领域:
- 医学教育 医学教育
- 手术教科书 手术教科书
- 健康差距 研究 研究 研究 研究
背景情况:
- 学术教科书延续了关于种族的简单或不正确的想法.
- 这可能导致在整体外科对少数族裔患者的护理方面存在差异.
- 目前的整体外科教科书可能没有充分解决种族差异.
研究的目的:
- 评估一般外科教科书对种族差异的理解深度.
- 确定这些教科书如何讨论种族和民族之间的医学差异.
主要方法:
- 从杜迪的名单中分析了13本普通外科教科书.
- 提取和分类511段关于种族/民族医学差异的段落.
- 评估讨论干预,环境因素,种族主义和因果语言的段落.
主要成果:
- 只有2.9%的段落将种族因果关系与医疗差异联系起来;两个讨论了种族主义.
- 大多数段落 (72.3%) 在理解深度的启发式尺度上获得了低分 (0) .
- 平均得分为0.24,并没有随着时间的推移而有所改善.
结论:
- 一般外科的教科书缺乏对健康差异的科学彻底理解.
- 纳入系统性原因和种族主义至关重要,以防止与少数群体患者的负面关联.
- 未来的教科书版本应该包含专门的,全面的关于健康差异的部分.
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