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种族隐含偏见和医生在模拟环境中的沟通
Cristina M Gonzalez1,2,3, Tavinder K Ark4, Marla R Fisher5
1Institute for Excellence in Health Equity, New York University Grossman School of Medicine, New York.
JAMA network open
|March 20, 2024
概括
医生 医生 医生
科学领域:
- 医学教育 医学教育
- 健康差距 研究 研究 研究 研究
- 医疗保健的心理学 医疗保健的心理学
背景情况:
- 种族隐性偏见通过对医生与黑人患者的沟通产生负面影响,从而导致健康差异.
- 目前针对医生偏见的干预措施因缺乏用于技能发展的现实模拟工具而受到限制.
研究的目的:
- 开发和评估一个高保真模拟来评估医生隐含的种族偏见.
- 了解隐性偏见如何在模拟的临床遭遇中影响医生与患者的沟通.
主要方法:
- 使用在线平台与医生志愿者进行的横截面研究.
- 医生与黑人或白人种族的标准化患者 (SP) 在一个模拟的急诊场景中与认知压力因素互动.
- 医生完成了种族隐性协会测试 (IAT) 和种族医学合作性IAT;SPs评价了沟通技巧.
主要成果:
- 在医生的种族IAT分数和SP种族在沟通评级之间发现了显著的相互作用.
- 对于特定的亲白人偏见,黑人社会党员的沟通评分低于白人社会党员.
- 医生沟通评级下降,随着与黑人医生互动时,亲白人偏见增加.
结论:
- 高保真模拟有效地证明了种族隐性偏见对医生沟通的影响.
- 这种模拟可以为开发干预措施提供信息,以减轻偏见并改善对黑人患者的护理.
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