检查瘤科医生与患者沟通中的潜在隐性偏见 (CONNECT):观察性双站点研究协议
Veronica C K Duck1, Marsha L Augustin2, Jose A Morillo2
1Department of Population Health Sciences, Duke University School of Medicine, Duke Cancer Institute, Durham, NC, United States.
JMIR research protocols
|August 14, 2025
概括
医生隐性偏见可能会加剧少数群体患者的癌症护理差异. 这项研究研究了瘤学家偏见如何影响黑人和西班牙裔癌症晚期患者的沟通和疼痛管理.
科学领域:
- 在瘤学瘤学.
- 健康差距 研究 研究 研究 研究
- 卫生沟通健康沟通
背景情况:
- 少数民族患者,包括黑人和西班牙裔患者,与白人患者相比,面临更高的晚期固体癌症发病率和死亡率.
- 这些差异与较差的以患者为中心的沟通,疼痛评估和管理有关.
- 医生隐性偏见是导致这些不平等的潜在因素.
研究的目的:
- 评估瘤学家间隐性偏见的作用.
- 检查隐性偏见对与晚期癌症少数群体患者沟通的种族或民族差异的影响.
主要方法:
- 在两个卫生系统招募了65名瘤学家和325名晚期固体癌症患者.
- 音频记录患者与瘤学家的接触,并分析通信内容.
- 向瘤学家进行隐性关联测试,以评估隐性偏见.
主要成果:
- 瘤学家招聘已经完成 (65/65).
- 患者招募正在进行中,截至2024年12月,在325名患者中,有245名患者被招募.
- 研究结果预计将于2026年10月公布.
结论:
- 该研究概述了评估疼痛对话和以患者为中心的沟通方法.
- 描述了编码书的开发,以评估主要和次要结果.
- 讨论了在研究过程中遇到的挑战和经验教训.
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