在HPE中超越基于种族的意识形态 DEI尝试:社会历史正义的框架和词汇
Carmen Black1,2,3, Morgan Brinker3, Amber Acquaye3
1Institute of Living at Hartford Hospital, Hartford, CT, USA.
Teaching and learning in medicine
|August 5, 2025
概括
卫生专业教育公平框架必须纳入社会历史背景,以应对代际医疗创伤. 一个新的社会历史正义框架提供了细微的语言来识别和支持直接受到历史伤害影响的血统.
科学领域:
- 健康 专业 教育 卫生 专业 教育
- 社会正义,社会正义.
- 医学伦理 医学伦理
背景情况:
- 美国目前的健康专业教育 (HPE) 公平框架缺乏历史深度,未能解决少数群体经历的特定,代际医疗创伤.
- 当前的框架往往假定现代种族身份等同于历史相关性,忽视了过去伤害的社会政治背景和历史排斥的多样性.
- 这种方法冒着延续不公正的风险,因为它使种族变得本质化,并掩盖了不同少数群体的独特历史经验.
研究的目的:
- 为HPE机构引入一个细微的词汇和框架,社会历史正义.
- 为HPE机构提供工具,以批判性地分析和完善对历史上被排除在外的群体的公平努力.
- 确保正义倡议准确地识别和受益于受特定历史伤害明显影响的血统.
主要方法:
- 美国卫生专业教育中现有的公平框架的概念分析.
- 发展社会历史正义框架,强调"社会" (社会政治背景) 和"历史" (时间伤害) 的相互作用.
- 基于血统,压迫的地点和时间,而不是仅仅基于当前身份的种族化群体的分类论点.
主要成果:
- 社会历史正义框架提供了一种方法来区分历史伤害对多代人的影响,超越当今的种族分类.
- 它强调,历史上的排斥不仅仅是基于种族的,还受到地点,阶级和性别的影响.
- 该框架需要对当前的股权努力是否真正有利于那些直接继承的,复杂的伤害的人进行批判性质疑.
结论:
- 为了超越表面的股权措施,HPE机构必须采用社会历史的细微差别.
- 准确识别历史上的伤害需要了解其具体的根源,时间,地点和社会背景.
- 实施社会历史正义框架可以为历史上被边缘化的人群带来更有针对性,更有效和更公正的结果.
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