临床医生关于在产科围绕种族差异进行对话的观点
Eileen Wang-Koehler1, Oluwadamilola Oshewa, Sindhu K Srinivas
1Department of Obstetrics and Gynecology and the Leonard Davis Institute of Health Economics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Obstetrics and gynecology
|October 2, 2025
概括
产周临床医生认识到种族主义会影响母亲的健康. 由于患者的恐惧,时间限制和不清楚的反应,他们发现讨论种族差异具有挑战性,特别是与种族不一致的患者.
科学领域:
- 产科和妇科 产科和妇科
- 健康 公平 研究 健康 公平 研究
- 质量健康研究 质量健康研究
背景情况:
- 妇产科的种族差异在公共和机构领域得到了广泛讨论.
- 关于这些差异的患者-临床医生对话的性质仍未得到充分探索.
研究的目的:
- 探索围产期临床医生的观点,与患者讨论母亲健康方面的种族差异.
- 了解与这些对话相关的临床医生的经验,障碍和促进者.
主要方法:
- 14名来自学术卫生系统的围产科临床医生参与的定性研究.
- 根据健康公平实施框架指导的半结构面试.
- 面试的内容分析,重点关注差异咨询,种族一致性和障碍.
主要成果:
- 临床医生承认种族主义对孕产妇健康结果的重大影响.
- 讨论经常由黑人患者的恐惧或在孕前风险讨论期间发起.
- 黑人临床医生报告说,在讨论生活经验造成的差异时,他们感到更舒服.
- 障碍包括对患者反应的恐惧,时间限制以及缺乏明确的指导.
结论:
- 临床医生急需培养有关种族差异的建设性对话的技能.
- 集中患者体验和促进黑人患者的心理安全至关重要.
- 以关系为中心的护理和知情对话是解决孕产妇健康不平等问题的关键.
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