在儿童住院患者环境中,社会工作咨询中的潜在偏见
Natalie R Segev1, Meghan L Fanta2,3,4, Stacey Litman5
1Division of Endocrinology.
Hospital pediatrics
|September 3, 2024
概括
黑人儿童和公共保险儿童在住院治疗特定诊断时更有可能接受社会工作 (SW) 咨询. 这种差异与资源需求无关,这表明SW咨询决策中的潜在偏见.
科学领域:
- 儿科 儿科 儿科
- 社会工作 社会工作 社会工作
- 健康 公平 卫生 公平
背景情况:
- 儿童因无法成长,短暂解决不明原因事件,意外摄入和溺水而入院往往需要社会工作 (SW) 咨询.
- 潜在的护理团队偏见可能会影响关于这些儿科入院的SW咨询的决定.
研究的目的:
- 为了检查社会工作 (SW) 咨询儿童医院入院的种族差异.
- 调查SW咨询是否根据特定诊断的患者种族而有所不同.
主要方法:
- 对因特定诊断而入院的6岁以下儿童进行回顾性队列研究 (2012年7月至2020年6月).
- 多变量后勤回归分析了基于患者种族的SW咨询,调整了种族,语言,保险和诊断.
- 补充图表审查评估了SW咨询的原因.
主要成果:
- 与白人儿童相比,黑人儿童的SW咨询的调整几率更高 (OR 1.61).
- 与私人保险儿童相比,公开保险儿童的SW咨询几率明显高 (OR 6.10).
- 图表审查表明,针对黑人和公共保险儿童的SW咨询更频繁地引用虐待,忽视和安全问题,而不是资源需求.
结论:
- 在儿童住院治疗的SW咨询中存在种族和保险差异.
- 这些差异并不能通过对资源需求的协商的差异来解释.
- 标准化SW咨询实践对于促进公平的儿科护理可能至关重要.
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