在医疗保健环境中纠正代词使用的障碍
Jodie Makara1,2, Roman Cain3, Lucas Glock3
1Department of Physical Medicine and Rehabilitation, University of Washington, Seattle, WA, 98195, USA. jmakara@uw.edu.
BMC medical education
|September 28, 2024
概括
由于系统性障碍,医生们很难为跨性别和非二进制 (TGNB) 患者使用正确的代词. 解决这些问题需要多方面,系统层面的干预,以实现包容性患者护理.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 医学中的社会学.
背景情况:
- 对于跨性别和非二进制 (TGNB) 患者来说,肯定性环境至关重要.
- 医生经常报告使用对TGNB患者的正确代名词存在困难.
研究的目的:
- 进行根源原因分析,了解为什么医学学生和医生未能对TGNB患者使用正确的代名词.
主要方法:
- 一项调查分发给俄俄州中部的医学学生,住院医生和医生.
- 用鱼骨图框架分析了详细描述感知障碍的参与者回复.
- 独立审稿人使用共识和解来编码答复.
主要成果:
- 确定了5个核心障碍类别:文档,患者护理,环境,知识和个人.
- 分类包括缺乏文档,不适,医疗文化,缺乏标准化,偏见和假设.
- 受访者包括临床医生 (32.5%) 和医学学生 (27.4%).
结论:
- 显著的障碍阻碍医疗专业人员使用对TGNB患者的正确代名词.
- 系统层面的干预是必要的,以确保TGNB患者得到适当的治疗.
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