种族差异和 (不) 遵守标准化待遇:通过公平镜头的含义
Nina Halberg1, Mari Holen2, Trine Schifter Larsen3,2
1Hvidovre Hospital, Hvidovre, Denmark. nina.halberg@regionh.dk.
BMC health services research
|October 2, 2025
概括
标准化治疗可以加剧少数民族的健康差异. 受到刻板印象影响的员工对不遵守的看法,导致医疗保健途径中的不公平护理和边缘化.
科学领域:
- 健康和疾病的社会学
- 医学人类学 医学人类学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 标准化治疗旨在通过统一基于证据的护理来减少健康差异.
- 尽管有目标,但在医疗保健中仍然存在种族和种族差异.
- 患者的坚持对于标准化治疗至关重要,但工作人员对坚持的评估和管理尚未得到充分研究,特别是对于少数民族.
研究的目的:
- 调查少数民族患者的健康行为是如何被感知和定位在标准化护理途径中的坚持.
- 探索工作人员对患者执法的理解和评估在延续或减轻健康差异中的作用.
主要方法:
- 民族学研究涉及9个月的实地研究在丹麦的两个骨科部门.
- 利用手术后增强恢复 (ERAS) 协议作为标准化护理框架.
- 从患者 (n=13),亲属 (n=6) 和医院工作人员 (n=79) 收集的数据,使用抽取分析进行分析.
主要成果:
- 工作人员经常将少数民族患者定位为不坚持.
- 对种族的基本主义和刻板印象的看法影响了工作人员对患者差异的看法.
- 种族与有关饮食习惯,家庭结构和疼痛表达的刻板印象有关.
结论:
- 主导的健康,种族和坚持的概念有助于少数群体患者在标准化护理中的边缘化.
- 感知不遵守导致标准化途径的不合格,疼痛治疗不足,以及减少参与患者教育和外科手术程序.
- 不公平的护理是通过临床实践延续的,这种临床实践使种族和非附属性变得重要.
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