多样性,公平和包容的领导者在美国学术健康中心的经验
Caitlin J Esparza1,2, Mark Simon3, Maya R London2
1Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco.
JAMA network open
|June 13, 2024
概括
学术医学中的多样性,平等和包容 (DEI) 领导者面临着重大挑战,包括资源限制和缺乏机构支持,阻碍了朝着种族正义目标的进步.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 组织领导力 组织领导力
背景情况:
- 2020年乔治·弗洛伊德的谋杀事件在学术医学中放大了对种族正义的呼吁.
- 学术卫生中心通过推出新的反种族主义倡议和扩大多样性,公平性和包容性 (DEI) 角色做出回应.
研究的目的:
- 探索DEI领导人在美国全方位医学院和学术健康中心的经验.
- 调查他们的角色,责任,资源,制度支持和挑战的结构.
主要方法:
- 采用对27个机构32名正式DEI领导人的关键信息人采访进行的定性研究.
- 从2020年12月到2021年9月进行的采访.
- 现象学方法与代码转录的代并发分析.
主要成果:
- 德伊领导人报告了重大挑战,包括角色变化,资源不足和缺乏制度整合.
- 机构指令与所提供的投资 (权力,人员,资金) 之间存在不匹配.
- 领导者由于未得到满足的需求和缺乏支持而经历了燃烧,这阻碍了有效性.
结论:
- 学术医疗机构必须为DEI领导人提供足够的资源和权力,以实现声明的DEI目标.
- 有效的DEI需要跨机构单位的综合战略,而不是孤立的努力.
- 政策制定者和认证机构应该为基于证据的实践提供指导,问责和支持.
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