在住院护理中针对医疗保健用户的种族主义:范围审查
Sibille Merz1, Tuğba Aksakal2, Ariam Hibtay1
1Faculty of Health and Education, Alice Salomon University of Applied Sciences, Alice-Salomon-Platz 5, 12627, Berlin, Germany.
International journal for equity in health
|May 2, 2024
概括
这份综述强调了住院医疗机构的种族歧视,揭示了诸如隔离和差别治疗等具体问题. 研究很少应用交叉性,需要针对性的干预措施,以获得公平的护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 卫生社会学 卫生社会学
背景情况:
- 医疗保健中的种族主义限制了种族化个体获得优质护理的机会.
- 在住院医院和康复机构内对种族主义特征的理解有限.
- 需要在住院护理体验中探索交叉歧视.
研究的目的:
- 绘制高收入国家的住院病人的种族歧视证据.
- 评估在现有研究中是否考虑过交叉歧视.
- 确定在住院医疗保健中关于种族主义的文献上的差距.
主要方法:
- 基于阿克西和奥马利框架 (2013-2023) 的范围审查.
- 在住院护理中调查了关于种族主义和种族歧视的研究.
- 使用Rayyan进行选和MAXQDA进行主题编码.
主要成果:
- 综述中包括了47篇文章.
- 确定的问题:差异性住院/入院/转诊率,来自同龄人的歧视威胁和空间隔离.
- 分析中很少明确考虑交叉性,尽管有提到种族与其他社会类别相互作用.
结论:
- 美国,加拿大,澳大利亚和英国领导研究;欧洲和不同的种族群体代表不足.
- 未来的研究应该涉及交叉性,以获得细微的理解.
- 政策制定需要通过有针对性的干预和改进的投诉程序来解决住院患者特有的结构.
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