黑人患者在紧急护理中的种族主义观点
Anish K Agarwal1,2,3,4, Rachel E Gonzales1,3, Charlotte Sagan1
1Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
JAMA health forum
|March 8, 2024
概括
黑人患者在急诊室 (ED) 经常经历种族歧视,导致不信任并影响护理. 解决系统性种族主义对于改善患者体验和培养反种族主义医疗保健文化至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
- 质量健康研究 质量健康研究
背景情况:
- 持续的种族主义深深地影响了黑人个人的生活,并延伸到医疗保健机构.
- 关于种族主义和以患者为中心的护理,黑人患者在急诊室 (ED) 的经验未得到充分研究.
研究的目的:
- 在最近的ED访问后,对黑人患者关于种族,种族主义和医疗保健的观点和经验进行定性调查.
主要方法:
- 这是一项定性研究,涉及对25名从城市学术ED医院出院的黑人患者进行半结构面试.
- 采访于2021年8月至2022年4月期间进行,录音,转录和主题分析.
主要成果:
- 三个领域出现了:医疗保健中的种族主义 (7个主题包括医疗不信任,轻视,历史医学种族主义),ED临床护理 (5个主题包括出院,患者体验,疼痛管理) 和患者建议.
- 患者报告普遍的不信任,怀疑和轻视,突出了从ED入口到出院的种族主义.
结论:
- 从黑人患者的角度来看,种族主义深深植根于ED临床护理提供中.
- 调查结果强调了在临床护理中种族主义的普遍性,并为在ED和医疗保健系统中开发以患者为中心的反种族主义方法提供了见解.
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