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在血管外科医生中调查无意识的种族偏见和偏见意识
Kerry A Howard1,2, Brian Witrick1, Ashley Clark3
1Department of Public Health Sciences, Clemson University, Clemson, SC.
medRxiv : the preprint server for health sciences
|June 17, 2024
概括
大多数血管外科医生表现出无意识的亲白人偏见,影响了外围动脉疾病的治疗. 对这种偏见的认识对于减轻医疗保健中的种族差异至关重要.
科学领域:
- 医学伦理 医学伦理
- 健康差距 研究 研究 研究 研究
- 在外科手术实践中.
背景情况:
- 隐性偏见显著影响临床决策,并可能加剧健康差异.
- 在血管护理方面存在有记录的种族差异,特别是在黑人和白人患者之间.
- 了解医疗保健提供者之间的偏见对于公平的患者治疗至关重要.
研究的目的:
- 调查血管外科医生的无意识偏见的流行程度和程度.
- 评估血管外科医生对自己偏见的认识.
- 在治疗外围动脉疾病 (PAD) 的背景下检查这些因素.
主要方法:
- 从血管质量倡议 (VQI) 登记处调查的血管外科医生.
- 利用种族隐性关联测试 (IAT) 来量化无意识的偏见.
- 通过特定的调查问题评估意识偏见意识.
主要成果:
- 大多数参与的外科医生 (71.6%) 显示出亲白人无意识的偏见,其中许多人处于中度至强度的类别.
- 虽然大多数外科医生 (77.5%) 报告有意识地意识到偏见,但很大一部分人缺乏意识,尽管持有偏见.
- 偏见的大小因外科医生的人口统计 (种族/种族,经验) 而有所不同;女性报告了更高的偏见意识.
结论:
- 在血管外科医生中,无意识的偏见很普遍,可能会影响患有外周动脉疾病 (PAD) 的患者的护理.
- 该研究发现无意识偏见和意识意识之间没有强烈的关联,强调意识是潜在的第一步.
- 解决隐性偏见对于减少血管护理中的种族差异和改善健康公平至关重要.
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