关于基于种族的医学的个人反思:使用定位镜头进行案例研究的叙事分析
Breanna Thompson1, Rasheda J Vereen2, Torie C Plowden3
1New York Institute of Technology College of Osteopathic Medicine, United States.
Journal of the National Medical Association
|May 24, 2025
概括
围产期护理中的基于种族的医学会对患者与提供者之间的关系和信任产生负面影响. 个性化,种族意识的医疗保健对于改善体验和消除有害做法至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 医学社会学 医学社会学
- 健康 公平 研究 健康 公平 研究
背景情况:
- 基于种族的医学,历史上用于风险分层,导致了有害的做法和健康不平等.
- 虽然医学界的系统性种族主义是公认的,但个体患者的观点,特别是在产科中,研究不足.
- 本研究从个体患者的角度探讨了围产期护理中基于种族的医学的实践经验.
研究的目的:
- 在围产期护理中调查基于种族的医学对个体患者的体验.
- 了解基于种族的医学如何影响怀孕和分娩期间的患者-提供者关系和信任.
- 从患者的角度来看,确定有关基于种族的医学实践的关键主题和问题.
主要方法:
- 采用了定性案例研究设计.
- 与军事受益者进行了半结构化访谈,作为对出生经历进行更大研究的一部分.
- 用叙事分析和定位理论分析数据,以探索患者的位置和生活经验.
主要成果:
- 确定的主要主题包括自我认同,种族敏感性,健康个性化和内部冲突.
- 患者的担忧还包括信任和尊重,抵制负面影响,知识化以及恐惧与赋权之间的平衡.
- 这些主题突出了患者对医疗保健环境中基于种族的医学存在的合理担忧.
结论:
- 在产前护理中以种族为基础的医学可能会损害患者与临床医生的关系,并侵蚀对医疗保健系统的信任.
- 过渡到个性化,种族意识的医疗保健对于培养信任和改善患者体验至关重要.
- 消除不必要的基于种族的医疗实践对于公平有效的产周护理至关重要.
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