为患有SCD的患者的临床医生提供健康公平的ECHO
Lisa M Shook1,2, Lori E Crosby1,3, Christina Bennett Farrell2
1Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229, United States.
Journal of sickle cell disease
|March 26, 2025
概括
卫生公平培训课程提高了临床医生的种族主义意识和在状细胞病 (SCD) 护理中的偏见. 这项使用虚拟远程辅导的培训显示出解决医疗保健环境中的不平等问题的前景.
科学领域:
- 健康 公平 卫生 公平
- 医学教育 医学教育
- 医疗保健中的社会正义
背景情况:
- 状细胞疾病 (SCD) 是一种普遍的遗传疾病,不成比例地影响黑人美国人.
- 临床医生的隐性偏见和机构种族主义有助于对SCD患者的污名化和低于最佳护理.
- 缺乏临床医生对种族认同和反种族主义策略的认识,使医疗保健不平等继续存在.
研究的目的:
- 为治疗SCD的临床医生制定和试验健康公平培训课程.
- 评估培训的可行性,可接受性和培训对自我效能的影响.
- 提高临床医生的技能,以应对医疗保健中的种族主义和偏见.
主要方法:
- 通过Project ECHO®虚拟远程辅导和在线学习管理系统,提供了健康公平课程.
- 该课程涵盖了种族,种族主义,白人和社会正义战略.
- 两个临床医生队列参与了试点研究.
主要成果:
- 该培训在多学科的临床医生和实习生中证明了可行性和可接受性.
- 定性反表明对种族主义和偏见的自我意识增加.
- 该课程为反思和技能培养提供了一个安全的空间,以解决医疗保健不平等问题.
结论:
- 开发的健康公平课程是教育临床医生在SCD护理中的系统性种族主义和偏见的一个有希望的方法.
- 虚拟远程辅导为提供有影响力的健康公平培训提供了一个有效的平台.
- 进一步实施可有助于缓解差距,并改善服务不足人群的护理质量.
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