心理健康护理中的交叉歧视:通过定性证据综合进行系统审查
Christin Hempeler1, Lydia Schneider-Reuter1, Anne-Sophie Windel1
1Institute for Medical Ethics and History of Medicine (Hempeler, Schneider-Reuter, Carlet, Philipsen, Gather) and Department of Psychiatry, Psychotherapy and Preventive Medicine (Juckel, Gather, Faissner), Ruhr University Bochum, Bochum, Germany; private practice for general medicine, Cologne, Germany (Windel); Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Zurich (Carlet); private practice for psychiatry and psychotherapy, and psychodynamic supervision, Cologne, Germany (Yeboah); Institute of the History of Medicine and Ethics in Medicine, Charité-Universitätsmedizin Berlin, Berlin (Faissner).
边缘化个体在心理健康护理中面临歧视. 一个交叉的方法揭示了多个身份如何影响经验和导航护理,突出了系统变革的需要.
科学领域:
- 社会科学 社会科学 社会科学
- 医疗保健服务研究 医疗服务研究
- 精神病学是一个精神病学.
背景情况:
- 心理健康护理中的歧视性做法违反了边缘化群体的健康权.
- 交叉方法对于理解同时发生的歧视至关重要,而单轴分析往往忽略了这一点.
研究的目的:
- 对心理健康护理中的歧视性做法进行交叉性告知的定性文献进行审查.
- 了解边缘化服务用户的经验以及他们对心理健康服务的导航.
主要方法:
- 在EBSCO,PubMed,MEDLINE和JSTOR进行了系统的搜索,1989年至2022年间发表的研究.
- 用交叉方法对符合条件的定性和混合方法研究进行了带有主题分析的定性证据综合.
- 包括专注于歧视经验,机制和应对策略的研究,从服务用户和提供者的角度来看.
主要成果:
- 综合了15项涉及383名服务用户和114名服务提供商的研究.
- 常见的交叉点包括精神疾病与种族,以及性和性别多样性,主要是在美国和加拿大设置.
- 出现了四个主要主题:社会身份的相关性,知识差距,微型攻击以及用户对歧视的反应.
结论:
- 歧视性做法为多个边缘化个体的照顾创造了重大障碍.
- 大学和医院等机构应实施培训,以识别和预防歧视.
- 发展机构能力对于改善心理健康护理平等至关重要.
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