多样性,公平性和包容性在美国麻醉科医生住院匹配中
Alexander N Sumarli1, Lauren S Pineda1, Alexandra Vacaru2
1From the Department of Anesthesiology, Loma Linda University, Loma Linda, California.
Anesthesia and analgesia
|August 19, 2024
概括
妇女申请的次数较少,但在麻醉学中同样匹配,而种族和少数民族的匹配几率较低. 解决这些差异是增加麻醉学多样性的关键.
科学领域:
- 医学教育 医学教育
- 医疗保健服务研究 医疗服务研究
- 医生劳动力的多样性 医生劳动力的多样性
背景情况:
- 医生与患者的一致性改善了结果,但女性和少数民族医生在麻醉学中代表性不足.
- 妇女占麻醉师的35%,尽管她们几乎是医学院毕业生的一半.
- 白人和亚裔医生占麻醉学工作人员的77%以上.
研究的目的:
- 分析麻醉学申请者和匹配趋势,以了解医生代表性不足.
- 假设更少的女性和代表性不足的少数群体适用并匹配于麻醉学.
主要方法:
- 在47117名麻醉学申请者 (2011-2022) 的回顾性观察性研究,来自电子住院申请服务 (ERAS).
- 根据自我报告的性别,种族和种族分层申请人.
- 分析的几率比率 (OR) 和95%的置信区间 (CI) 应用和匹配到麻醉学.
主要成果:
- 与男性相比,女性申请麻醉学的几率较低 (OR,0.55),但匹配的几率相似 (OR,1.10).
- 种族和少数民族申请人的申请率与白人申请人的申请率相似,但匹配率明显较低.
- 观察到亚洲/NH-PI (OR,0.66),黑人 (OR,0.49),西班牙裔/拉丁裔 (OR,0.50) 和AI-AN (OR,0.20) 申请人的特定较低匹配几率.
结论:
- 妇女申请的频率较低,但与男性相似的比例与麻醉学相匹配.
- 与白人申请人相比,种族和少数民族的匹配率存在显著差异.
- 需要改善人口统计数据报告,以识别障碍并促进麻醉学中的多样性.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
11.8K
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.2K
相关概念视频
Stereotypes, Prejudice, and Discrimination
90.1K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.1K
Standards of Care I
670
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
670
Ethical Issues
879
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
879
Surveys
14.7K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
14.7K
Ethical Dilemmas II
965
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
965
Healthcare Agencies II
692
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
692
