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重温种族,民族和风湿病学教育材料中的差异:自2020年以来的更新
Lisa Zickuhr1, Eric Roberts2, Tyler Daugherty1
1Washington University School of Medicine in St. Louis, St. Louis, Missouri.
Arthritis care & research
|March 19, 2024
概括
意识到皮肤有色人群 (P-SOC) 在风湿学教育中的代表性不足,导致了改善. 在2020年至2024年期间,关键材料中的P-SOC图像增加了40.6%,这表明朝着公平代表性的进展.
科学领域:
- 医学教育 医学教育
- 类风湿病学 类风湿病学
- 健康 公平 卫生 公平
背景情况:
- 关节病学教育材料中的临床图像在历史上代表皮肤有色人群 (P-SOC) 不足.
- 2020年的一项研究强调了这种差异,促使出版商解决这个问题.
研究的目的:
- 根据2020年意识研究,调查P-SOC在风湿病学教育材料中的表现变化.
- 在关键的风湿病学资源中量化描绘深色皮肤色调的图像比例的改善.
主要方法:
- 这些图像来自美国风湿病学学院 (ACR) 图像库,凯利的风湿病学教科书,新英格兰医学杂志 (NEJM) 和UpToDate.
- 皮肤色调被分为"浅色"或"深色",描绘黑色皮肤色调的图像的比例变化计算在2020年至2022/2024年之间.
- 单面Z测试用于统计比较.
主要成果:
- 描绘黑色皮肤色调的图像的整体比例增加了40.6% (P < 0.0001).
- 凯利的风湿病学教科书显示了最显著的增加 (90.1%,P = 0.0039).
- ACR图像库,UpToDate和NEJM也表现出增强的代表性 (分别增加了41.9%,31.0%和28.2%).
结论:
- 教育出版商的集中努力可以显著提高P-SOC在风湿病教育材料中的代表性.
- 在教育资源中增强视觉多样性对于改善风湿病提供者基础知识的质量至关重要.
- 这一进展旨在增强患有风湿性疾病的P-SOC的健康经验和结果.
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