内部医学项目主任对适应残疾居民的看法:一个定性研究
Maggie Salinger1, Mytien Nguyen2, Christopher J Moreland3
1Division of General Internal Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA. msalinger@lifespan.org.
Journal of general internal medicine
|July 17, 2024
概括
医生项目主管对残疾居民持有不同的看法,他们既看到了优点,也看到了缺点. 解决招聘和住宿方面的信息缺口可以改善医疗培训中的残疾人纳入.
科学领域:
- 医学教育 医学教育
- 医生的多样性 医生的多样性
- 残疾人包容性包括在内.
背景情况:
- 美国成年人中有很大一部分患有残疾,但很少有医生报告残疾.
- 医疗培训和实践中的能力不足会对医生多样性,福祉和医疗保健公平产生负面影响.
- 医疗保健获取和结果的差异与医学上的能力主义有关.
研究的目的:
- 探索障碍障碍残疾人平等和医疗培训中的包容.
- 检查内部医学项目主任关于招聘和适应残疾居民的观点.
- 确定影响残疾居民纳入内科计划的因素.
主要方法:
- 使用与节目主管进行半结构化的虚拟采访进行的定性研究.
- 目的性和方便性抽样,以确保计划特征和参与者人口统计的多样性.
- 对采访成绩单进行主题和话语内容分析,以了解节目导演的观点.
主要成果:
- 节目主任表达了相互矛盾的观点,将残疾视为同理心的来源和内在的缺陷.
- 人们对残疾居民不可预测的缺席和潜在的临床无能提出了担忧.
- 关键的挑战包括缺乏适应的经验,工作量分配,信息不对称和披露障碍;促进者包括先进的规划和明确的流程.
结论:
- 节目主管之间相互矛盾的观点凸显出需要更好的理解和支持.
- 解决招聘和适应过程中的信息不对称性对于增强包容性至关重要.
- 改善残疾居民的代表性和包容性,可以带来更多样化的医生劳动力和更好的医疗保健结果.
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