在医疗保健和社会中的多样性,公平性和包容性:在不断变化的挑战中,这是一个历史上的必然性,道德框架和战略途径
Daniel Laroche1, Melanie Scheive2
1Advanced Eye Care of New York, Queens, NY, USA; New York University Langone Eye Center, NY, NY, USA.
Journal of the National Medical Association
|September 20, 2025
概括
多样性,平等和包容 (DEI) 倡议解决了根植于美国民权历史的系统不平等问题. 推进DEI努力促进包容性环境和公平机会,增强整体健康和福祉.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 法律研究 法律研究
背景情况:
- 多样性,平等和包容 (DEI) 倡议解决基于种族,性别,社会经济地位和其他身份的系统不平等问题.
- DEI的努力源于1960年代的积极行动政策,源于美国的民权斗争.
- 历史上的法律歧视,包括奴隶制和吉姆·克劳法,在美国社会和医疗保健中造成了根深蒂固的不平等.
研究的目的:
- 探索DEI的核心原则.
- 检查美国法律歧视中DEI的历史背景.
- 分析DEI倡议的演变,扩张,批评,挑战和好处.
主要方法:
- 对历史文件,立法里程碑,社会运动和当代文学进行了全面的文献审查.
- 综合了DEI的演变和实际影响.
- 促进了对DEI在健康公平性中的必要性和影响的细微理解.
主要成果:
- DEI包括多样性 (评估差异),公平性 (公平待遇/获取) 和包容性 (赋予参与权力).
- 历史上的歧视造成了影响美国社会,工作场所和医疗保健的系统不平等.
- 现代的DEI努力,建立在积极行动的基础上,有利于个人和组织,改善合作,创新和美国人口健康.
结论:
- DEI是解决历史和系统不平等问题的重要框架,特别是在医疗保健领域.
- 有效的DEI计划需要持续的承诺,专家的协助和广泛的支持来克服阻力.
- 持续的宣传和研究对于实现DEI对个人和组织的全部好处至关重要.
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