提供者隐含的种族偏见在儿科状细胞疾病中
Siddika S Mulchan1,2, Christopher B Theriault3, Susan DiVietro3,4,5
1Connecticut Children's, University of Connecticut School of Medicine, Farmington, USA. ssmulchan@gmail.com.
Journal of racial and ethnic health disparities
|July 17, 2024
概括
儿科提供者表现出隐含的种族偏见,但虚拟患者场景没有显示黑人与患有状细胞疾病 (SCD) 的白人青少年疼痛护理决策的差异. 标准化协议可以减轻临床实践中的偏见.
科学领域:
- 医学伦理 医学伦理
- 健康差异 在健康上的差异
- 儿科护理 儿科护理
背景情况:
- 隐含的种族偏见是医疗保健中的一个问题.
- 状细胞病 (SCD) 不成比例地影响少数群体,突出了在护理方面的潜在差异.
研究的目的:
- 评估儿科提供者隐含的种族偏见.
- 为了确定隐性种族偏见是否会影响儿科状细胞疾病 (SCD) 疼痛管理中的临床决策,使用虚拟患者 (VP) 视频.
主要方法:
- 一项横截面研究涉及52名儿科SCD提供者.
- 提供者完成了种族隐含关联测试 (IAT) 和明确偏差测量.
- 通过使用SCD或癌症疼痛的儿科患者的VP vignettes来模拟临床决定.
主要成果:
- 供应商对成人和儿童面孔的种族IAT表现出亲白人隐性偏见.
- 显式偏见测量显示,与负面SCD患者刻板印象的一致性很低.
- 在基于患者种族或诊断 (SCD与癌症) 的疼痛治疗决定中没有发现显著差异.
结论:
- 儿科提供者表现出隐含的种族偏见,与一般人群相比.
- 视频视频没有显示种族或诊断影响疼痛治疗决策,可能是由于标准化急诊室协议.
- 需要进一步的研究,以了解临床决策中的隐性偏见和儿科SCD疼痛护理协议的有效性.
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