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医疗保健中的结构性耻辱:一个新的电子学习课程
Javeed Sukhera1,2, Tess M Atkinson1, Uyen P Ta2
1Hartford Hospital, Hartford, Connecticut, United States of America.
Healthcare management forum
|March 13, 2025
概括
一个新的电子学习课程有效地减少了心理健康和物质使用 (MHSU) 挑战的个人在医疗保健环境中的结构性耻辱. 培训提高了参与者的知识和技能,促进了更公平的护理.
科学领域:
- 医疗保健 公平 医疗保健 公平
- 医学教育 医学教育
- 公共卫生干预 公共卫生干预
背景情况:
- 对精神健康和物质使用 (MHSU) 挑战的个人进行歧视会对医疗保健的获取和质量产生负面影响.
- 现有的反污名化干预措施往往无法解决医疗保健中的系统性问题.
- 嵌入政策和实践的结构性耻辱,使MHSU人群的健康差异延续.
研究的目的:
- 共同设计,实施和评估一门新的电子学习课程,专注于消除医疗保健中的结构性耻辱.
- 加强医疗保健专业人员和领导人的理解和能力,以解决结构性耻辱.
- 促进反思和基于证据的战略,以识别和减轻医疗保健环境中的耻辱感.
主要方法:
- 一个多元化的医疗保健系统领导者,影响者和专业人士 (n=528) 参与了共同设计的电子学习课程.
- 该课程使用交互式基于网络的模块来促进对结构性耻辱的学习.
- 评估前和后的数据采集并使用描述性统计数据和对对 t 测试进行分析.
主要成果:
- 参与者认为电子学习课程非常相关和有用.
- 参与者报告说,他们提高了与识别和解决结构性耻辱相关的知识和技能.
- 干预表明了持续的教育和基于实践的改进的潜力.
结论:
- 基于网络的交互式电子学习课程是打击医疗保健中的结构性耻辱的可访问和有效工具.
- 这种教育方法可以挑战学习者的信念和假设,从而改善态度和实践.
- 这项干预有望改善面临心理健康和物质使用挑战的个人健康平等.
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