障碍,促进者和解决方案为残疾医生公平的职业发展:一个综合性审查
Megan E L Brown1, Bryan Burford2, Gillian Vance2
1School of Medicine, Newcastle University, Newcastle upon Tyne, UK megan.brown@newcastle.ac.uk.
BMJ open
|October 3, 2025
概括
残疾医生面临着巨大的职业障碍,因为有能力和耻辱. 实施包容性实践和政策变化对于具有代表性的医疗劳动力至关重要.
科学领域:
- 医学教育 医学教育
- 关于残疾人的研究.
- 医疗保健 劳动力研究 研究 医疗保健 劳动力研究
背景情况:
- 残疾医生在职医生遇到实质性的结构性,文化和机构障碍,无法在职业生涯中取得进展.
- 现有的文献强调了挑战,但缺乏全面的,基于证据的解决方案来支持残疾医生.
研究的目的:
- 对有关残疾医生职业发展的实证和灰色文献进行综合性审查.
- 识别残疾医生面临的挑战,支持性实践,以及医疗保健机构,特别是英国国家卫生服务 (NHS) 内的潜在解决方案.
主要方法:
- 一个综合性的文献综述,利用内容分析.
- 包括英语来源,检查残疾医生的职业发展或将他们作为一个子组.
- 排除没有经验依据的意见稿和非全文文章.
主要成果:
- 结构性能力主义,不可访问的系统和披露耻辱是持续存在的障碍.
- 导师,肯定监督和身份确认网络促进了职业发展.
- 有希望的实践包括通用设计,预期性调整和将残疾人平等纳入治理,尽管许多举措没有得到评估.
结论:
- 人们对障碍的认识正在增加,但基于证据的解决方案尚未得到开发,并且应用不一致.
- 劳动力政策必须积极消除障碍,并将残疾人纳入医疗职业结构和文化.
- 可持续和具有代表性的医疗劳动力需要系统性变革,以支持残疾医生的进步.
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