风湿病学中的年龄歧视:医疗保健专业人员的观点
Aaron P Smith1, Pooja M Achanta2, Jiha Lee3
1UNC Chapel Hill, Chapel Hill, NC.
Arthritis care & research
|April 21, 2025
概括
风湿病学中的年龄歧视会影响患者的护理. 偏见的医疗保健专业人员可能会改变老年风湿病患者的咨询和治疗决策.
科学领域:
- 类风湿病学 类风湿病学
- 老年病的医生 老年病的医生
- 医学伦理 医学伦理
背景情况:
- 年龄歧视,定义为基于年龄的刻板印象,偏见或歧视,是与老年人不良健康结果相关的重要问题,包括长期残疾和寿命缩短.
- 虽然在一般社会普遍存在,但在风湿病学专业领域,年龄歧视的程度和影响仍然在很大程度上未被探索.
- 了解医疗保健专业人员 (HCP) 的看法对于识别和减轻类风湿病护理中与年龄相关的偏见至关重要.
研究的目的:
- 调查医疗保健专业人员 (HCP) 对关怀老年人的看法.
- 探索年龄主义态度或观点如何影响老年患者的风湿病治疗.
- 评估与年龄相关的偏见与风湿病学的临床决策之间的相关性.
主要方法:
- 一项REDcap调查对专门从事类风湿性疾病的医疗保健工作者进行了方便抽样.
- 该调查采用了经过验证的"关于衰老的预期" (ERA-12) 仪器来测量与年龄相关的偏差 (较高的分数表明偏差较小).
- 分析了ERA-12得分与其他关于老年人临床护理的调查答案之间的相关性.
主要成果:
- 总共收集了255项调查,受访者主要是学术,城市实践中的女性医生,年龄较大的成人患者的比例很高.
- 中位数ERA-12得分 (36/48) 表明,平均而言,受访者不同意关于衰老的普遍刻板印象.
- 较高的ERA-12分数与照顾老年人的乐趣增加以及对老年5M框架的更大认识相关. 相反,较低的分数与对老年人的看法更苛刻,以及从疾病修饰疗法转向缓解症状的倾向有关.
结论:
- 关于衰老的刻板印象信念与风湿病医务人员在患者咨询和医疗决策方面自我报告的修改有关.
- 这些发现表明,与年龄相关的偏见可能会显著影响患有风湿性疾病的老年人提供的护理质量.
- 在风湿病学中解决年龄歧视对于确保公平有效的患者护理至关重要.
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