紧急儿科包容性沟通框架的父母参与的开发
Colleen K Gutman1, Antionette McFarlane2, K Casey Lion3
1Department of Emergency Medicine, University of Florida College of Medicine, Gainesville, Fl; Department of Pediatrics, University of Florida College of Medicine, Gainesville, Fl.
Academic pediatrics
|August 17, 2025
概括
在儿科急诊室内隐含的种族偏见会影响医生沟通,导致健康不平等. 专家们确定了特定的偏见假设和沟通行为,需要解决这些问题,以改善对有色人种儿童的照顾.
科学领域:
- 健康 公平 卫生 公平
- 医学沟通 医学沟通
- 隐含偏见研究研究研究
背景情况:
- 隐含的种族偏见在儿科急诊室 (ED) 中很普遍.
- 医生沟通是这些偏见创造健康差异的潜在途径.
- 了解这些沟通动态对于解决不平等至关重要.
研究的目的:
- 为了在儿科ED中医生沟通如何受到种族偏见的影响,达成专家共识.
- 识别特定的医生沟通行为和导致不公平的假设.
- 开发一个框架,以了解隐性偏见和儿童健康不平等之间的联系.
主要方法:
- 一个经过修改的Delphi方法被用于专家小组,包括儿童ED患者的父母和医疗专业人员.
- 通过主持小组讨论和在线问卷建立共识.
- 医生行为被评估使用5点利克尔特尺度,以确定种族偏见的可能性和对不平等的贡献.
主要成果:
- 在49项评估的医生行为中,28项可能具有种族偏见的行为达到了共识.
- 这包括12个假设 (例如,关于父母的能力,情绪) 和16种沟通行为 (例如,同理心沟通,信息共享).
- 这些确定的行为和假设直接影响父母与医生的互动和决策.
结论:
- 隐含的种族偏见在医生沟通中表现出来,在儿科ED中创造了导致儿童健康不平等的途径.
- 研究结果支持一个概念框架,将偏见的沟通与健康差异联系起来,以沟通适应和以患者为中心的理论为指导.
- 这项研究为干预措施提供了基础,以减轻医疗保健环境中隐性偏见的影响.
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