富有同情心的好奇心:通过激励性采访减轻偏见的影响
Paul J Hershberger1, Dean A Bricker2, Angie Castle1
1Department of Family Medicine, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA.
Health equity
|July 16, 2024
概括
医疗保健专业的隐性偏见伤害了边缘化的患者. 激励面试 (MI) 可以通过关注患者的观点来减少这种偏见,改善护理公平.
科学领域:
- 医疗保健中的差异
- 医学教育 医学教育
- 患者-医疗服务提供者沟通
背景情况:
- 医疗保健专业人员之间的隐性偏见显然会影响患者的治疗.
- 少数群体和边缘化的患者群体不成比例地经历了这些偏见的负面影响.
- 关于患者知识的偏见假设会影响健康教育和咨询.
研究的目的:
- 探索动机面试 (MI) 的潜力,作为一种减轻患者护理隐性偏见的策略.
- 检查MI的以患者为中心的组成部分如何抵消偏见的判断.
主要方法:
- 对医疗保健中隐性偏见的现有文献的审查.
- 分析激励面试 (MI) 的原则和技术.
- 检查MI的基于证据的偏见缓解策略.
主要成果:
- 激励面试 (MI) 包含了减少偏见的关键策略.
- MI强调从患者独特的角度了解患者的情况.
- 这些MI组件与缓解偏差的基于证据的方法保持一致.
结论:
- 动机面试 (MI) 方法提供了一个框架,以减少医疗保健专业人士偏见的影响.
- 实施MI可能会导致更公平,更有效的患者护理.
- 进一步研究MI在减少偏差方面的有效性是有必要的.
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