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缩小差距:解决旁观者CPR管理中的种族偏见
Ketan Tamirisa1, Ethan Lowder2, Adriana Mares3
1Washington University in St. Louis, MO, USA.
概括
通过旁观者心肺复苏 (BCPR) 进行非医院心脏骤停 (OHCA) 的种族差异导致可预防的死亡. 通过以社区为中心,文化敏感的培训来解决教育障碍和隐性偏见,可以改善BCPR获取和公平.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 健康 公平 卫生 公平
背景情况:
- 旁观者心肺复苏 (BCPR) 对于医院外心脏骤停 (OHCA) 的生存至关重要.
- 在BCPR管理中存在显著的种族差异,黑人和西班牙裔个人比白人更少接受它.
- 包括教育障碍,隐含偏见和系统性种族主义在内的结构因素有助于这些不平等.
研究的目的:
- 检查BCPR管理中的种族差异的主要贡献者.
- 提出有针对性的,基于证据的解决方案,以减少这些差异.
主要方法:
- 分析导致BCPR差异的结构因素.
- 对教育障碍,隐含偏见和紧急响应中的系统性种族主义现有文献的审查.
- 识别基于证据的干预措施和政策改革.
主要成果:
- 有限的CPR培训机会,低的健康素养和语言差异造成了教育障碍.
- 旁观者和急救人员之间的隐含偏见加剧了BCPR的种族差异.
- 系统性种族主义是许多这些促成因素的基础.
结论:
- 需要采取多方面的方法,包括社区参与,文化响应培训和偏见意识.
- 需要进行政策改革,以确保为CPR培训和紧急基础设施分配公平的资源.
- 有针对性的干预措施可以改善BCPR的可访问性,提高响应的公平性,并在历史上处于不利地位的人群中减少可预防的死亡率.
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