医学QI项目中的批判理论和文化能力:来自太平洋岛屿社区的经验教训
Adam Martorana1, Sankalp Katta1, Hanna Huynh1
1A.T. Still University - School of Osteopathic Medicine in Arizona, Mesa, AZ, USA.
Journal of biosocial science
|February 27, 2025
概括
这个质量改进项目使用了批判理论来为太平洋岛民社区开发文化相关的饮食资源. 它强调了文化谦卑和社区参与的必要性,以解决食品不公正和医疗保健中的殖民主义问题.
科学领域:
- 社会学 社会学 社会学
- 公共卫生 公共卫生
- 医学教育 医学教育
背景情况:
- 粮食不公正和缺乏粮食主权与殖民主义和资本主义结构有关.
- 批判理论为研究医疗保健中的权力动态和压迫提供了一个框架.
- 质量改进 (QI) 项目可以通过批判性反思和社区参与来加强.
研究的目的:
- 探索批判理论在一个QI项目中对文化相关的饮食资源的应用.
- 检查假设和权力关系如何影响医疗保健项目.
- 为文化谦卑和公平的QI倡议提供建议.
主要方法:
- 关于假设,权力动态和压迫的批判性反思.
- 在骨科医生医学学生和批判理论专家之间进行反复的小组讨论.
- 反射性,以了解社会位置和生活经验的影响.
主要成果:
- 该项目发现了社区参与的局限性,强调了文化谦卑的必要性.
- 批判性反思揭示了生活经验如何塑造社会机构内对压迫的看法.
- 这项研究强调了理解社会政治背景的重要性,以避免延续殖民实践.
结论:
- 医学院应该整合社会学理论,以促进文化上适当的护理和研究.
- 质量投资项目需要真正的社区伙伴关系和参与式行动方法.
- 为了更公平的全球医疗保健系统,需要进行系统性变革,以批判理论和文化谦卑为基础.
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