权力动态延续DEI无所作为:社区卫生诊所团队的定性研究
Laura Marie Ramzy1,2, Samantha Pelican Monson3,2, Helen Weng-Ian Chao4
1Integrated Behavioral Health, Ambulatory Care Services, Denver Health and Hospital Authority, Denver, Colorado laura.ramzy@dhha.org.
Annals of family medicine
|May 28, 2024
概括
医疗保健工作人员,特别是支持角色的有色人种 (POC),面临着隐藏的挑战和歧视. 解决权力动态和实施系统层面的变化对于促进医疗保健中的多样性,公平性和包容性 (DEI) 是至关重要的.
科学领域:
- 医疗保健 公平 医疗保健 公平
- 组织心理学 组织心理学
- 卫生社会学 卫生社会学
背景情况:
- 临床医生对医疗保健中的系统性种族主义的认识正在增加,但针对反种族主义的具体行动仍然有限.
- 种族少数民族/有色人种 (POC) 的观点,通常在弱势的支持角色中,对于理解和克服多样性,平等和包容 (DEI) 的障碍至关重要.
研究的目的:
- 探索社区卫生诊所团队中种族和角色力量动态的员工观点.
- 确定在医疗保健机构内推进DEI倡议的障碍.
主要方法:
- 在13个社区卫生诊所中,与60名工作人员进行了半结构化采访.
- 有目的的招聘超标抽样POC和支持人员,以确保多样化的代表性.
- 使用批判性-意识形态范式的定性分析在六个月内确定了关键主题.
主要成果:
- 有色人种 (POC) 在诊所中经历了隐藏的挑战和持续的种族歧视.
- 现有的权力动态导致对DEI倡议的不作为.
- 人际行动可以促进安全和公平,但系统层面的变化对于文化转变至关重要.
结论:
- 了解种族和角色力量动态,特别是不那么强大的员工的经验,对于在医疗保健中推进DEI至关重要.
- 系统性变化是必要的,以促进一个真正公平和包容的医疗保健环境.
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