性别平衡战略对初级保健机构居民小组的影响
Samantha Mannion1, Andrew J Halvorsen2, Carl Andersen1
1Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Journal of general internal medicine
|October 16, 2024
概括
患者对性别一致的初级保健医生的偏好导致居民小组不平衡. 一项再平衡干预显示,两年来性别一致性趋向稳定,突出显示需要持续的战略,以确保公平的培训机会.
科学领域:
- 医学教育 医学教育
- 主要护理是指初级护理.
- 健康 公平 卫生 公平
背景情况:
- 患者对性别一致的初级保健医生的偏好可能会为住院医生创造不平等的培训机会.
- 住院领导力寻求策略,以平衡患者在居民之间的参与.
- 患者小组中的性别差异可能会影响居民培训和未来的实践.
研究的目的:
- 评估旨在在居民初级保健小组上均化患者性别分配的干预措施的有效性.
- 评估小组再平衡对性别一致性的长期影响.
主要方法:
- 从2020年开始,一类内科住院医生参与的观察队列研究.
- 在培训开始时手动重新平衡住院患者小组,以达到相似的男性/女性患者数量.
- 在干预后两年分析了小组数据,比较了男性和女性居民的患者人口统计和整体小组规模.
主要成果:
- 最初的再平衡在男性和女性居民小组上创造了类似的基线患者性别分布.
- 在两年内,人们观察到性别一致性的显著趋势,男性居民获得更多的男性患者,女性居民获得更多的女性患者.
- 在研究结束时,在男性和女性居民之间没有注意到整体面板大小的显著差异.
结论:
- 手动面板再平衡干预不足以保持随着时间的推移在住院医生的患者面板中保持性别平衡.
- 计划领导应该考虑定期再平衡和其他干预措施,以确保公平的培训机会.
- 解决患者的性别偏好对于公平居民培训和为独立实践做好准备至关重要.
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