在儿科急诊期间潜在的种族偏见:一项模拟研究
Vaishnavi J Patel1, Elizabeth Byrne2, Jendi Haug2
1Office of Research and Innovation, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Cureus
|April 1, 2025
概括
儿科护理中的隐性偏见可能会影响治疗决策. 高准确度模拟显示了基于人形皮肤颜色管理败血症的差异,影响氧气和复苏干预.
科学领域:
- 医疗教育 医学教育
- 健康差异 在健康上的差异
- 儿科急救医学 儿科急救医学
背景情况:
- 少数群体的人口经历更糟糕的健康结果,尽管教育干预措施.
- 隐性偏见是医疗保健差异的公认贡献者,影响儿科护理.
- 高保真模拟提供了一种可控的方法来评估患者管理决策.
研究的目的:
- 评估是否高保真模拟可以识别儿科紧急护理决策中的差异.
- 根据人形皮肤颜色,调查治疗儿科败血症病例的差异.
主要方法:
- 开发了一个标准化的儿科败血症模拟场景.
- 儿科住院人员被随机分配,与黑色或浅色皮肤的玩偶进行交互.
- 干预和时间由医生评级者使用标准化表格进行分析.
主要成果:
- 大多数护理干预措施在浅色和深色人形之间是相似的.
- 肤色深的婴儿比肤色明亮的婴儿更频繁地接受氧气 (100%对55.5%).
- 肤色明亮的婴儿在患有心血管梗塞后比肤色深的婴儿更频繁地接受压缩 (89%vs40%).
结论:
- 模拟的儿科败血症病例显示出基于人形皮肤颜色的显著干预差异.
- 这些差异可能源于无意识的偏见或对疾病病因学的假设.
- 模拟为进一步研究医疗保健差异提供了有价值的工具.
相关概念视频
Surveys
14.7K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
14.7K
Bias in Epidemiological Studies
105
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
105
Group Design
8.8K
The most basic experimental design involves two groups: the experimental group and the control group. The two groups are designed to be the same except for one difference— experimental manipulation. The experimental group gets the experimental manipulation—that is, the treatment or variable being tested—and the control group does not. Since experimental manipulation is the only difference between the experimental and control groups, we can be sure that any differences between...
8.8K
Stereotypes, Prejudice, and Discrimination
89.7K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
89.7K
Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K
Bias
3.7K
Bias refers to any tendency that prevents a question from being considered unprejudiced. In research, bias occurs when one outcome or answer is selected or encouraged over others in sampling or testing. Bias can occur during any research phase, including study design, data collection, analysis, and publication.
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
3.7K


