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评估一种新的虚拟现实培训干预措施,以解决医疗保健工作者间的隐性偏见,使用实施科学框架

Madelyn Olmos-Rodriguez¹, Lynhea M Anicete¹, Nova Wilson¹

¹Institute for Global Health Sciences, University of California (UCSF), San Francisco, California, United States of America.

|October 17, 2025

概括

虚拟现实 (VR) 培训有望减少医疗保健提供者之间的种族偏见. 虽然定量同情度得分没有显著变化,但定性反表明对BIPOC患者的同情度有所改善.

科学领域:

医疗保健教育医疗保健教育
医学伦理医学伦理
健康差异在健康上的差异

背景情况:

医疗保健中的种族偏见与黑人,土著和有色人种 (BIPOC) 的不良结果有关.
一个新的试点虚拟现实 (VR) 培训计划被开发出来,以解决医疗保健提供者之间的这种偏见.

研究的目的:

设计和评估一个VR培训计划,旨在减少种族偏见和增强医疗保健提供者的同情心.
评估VR作为改善医疗保健环境中文化能力的工具的可行性和可接受性.

主要方法:

一项混合方法研究,CULTIVATE (通过同情的虚拟意识打击医疗保健中的不平等待遇),使用VR模块培训白人识别提供者和学生.
用杰斐逊同情度量 (JSE) 和干预前后的情境措施来衡量同情.
该RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) 框架指导了评估,并纳入了定量和定性分析.

主要成果:

30名参与者完成了培训,其中18人完成了所有评估. 没有观察到JSE平均得分的显著变化.
定性数据显示,情绪反应增加,对BIPOC患者的临床同情心得到改善.
这项干预得到了很好的接待,参与者推它 (平均得分为8/10).

结论:

试点VR培训计划被发现对医疗保健提供者来说是可以接受和可行的.
定性研究结果表明,VR培训可以增强同情心,尽管需要进行更大规模的研究来确认有效性.
虚拟现实有可能为未来的医疗保健培训提供解决偏见和改善患者护理的机会.

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