在学术医学中解决医疗种族主义的逻辑框架:对定性数据的分析
Pamela Roach1, Shannon M Ruzycki2,3, Kirstie C Lithgow4
1Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.
BMC medical ethics
|April 14, 2024
概括
医学种族主义在学术医学中仍然存在,尽管有干预措施. 了解临床医生的经验和制定有针对性的,基于理论的策略对于有效的反种族主义努力至关重要.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 反种族主义干预措施
背景情况:
- 尽管有数十年的反种族主义和平等,多样性和包容 (EDI) 倡议,但医学种族主义继续对学术医学中的患者和医疗保健专业人员产生负面影响.
- 这项研究旨在探索学术临床医生对医疗种族主义的经验和信仰,以确定其持久性的驱动因素,并为干预策略提供信息.
研究的目的:
- 深入探讨学术临床医生关于医学种族主义的经验和信仰.
- 了解在学术医学中持续存在的医学种族主义的潜在驱动因素.
- 为设计有效的反种族主义和EDI干预提供信息.
主要方法:
- 与多个部门的学术关联的临床医生进行了半结构化采访.
- 用专题内容分析来确定解决医疗种族主义的障碍和促进因素.
- 开发了一个逻辑框架,概述了解决种族主义问题的步骤,并应用于参与者叙述.
主要成果:
- 参与者的叙述揭示了解决种族主义的重大障碍,包括白人同事缺乏同情心.
- 确定了有限的促进者,例如开发共同的语言来讨论种族主义.
- 逻辑框架表明,解决种族主义需要理解,承认,命名和对抗.
结论:
- 学术医学组织可以利用开发的逻辑框架,将有针对性的反种族主义或EDI干预进行上下文化和选择.
- 解决局部障碍和促进者的理论化方法可能更有效地打击持续的医疗种族主义.
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