民族和公平的获取4级国家ICT服务
Saam Idelji-Tehrani1,2,3, Nimmi Parikh4, Matteo Catanzano5,6
1Royal Alexandra Children's Hospital, Brighton, UK.
BJPsych bulletin
|October 24, 2025
概括
来自少数民族背景的儿童和青少年在国家ICT服务中代表性不足,尽管没有证据表明在分拣中存在无意识的偏见. 需要更多地意识到他们的挑战.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 健康 公平 研究 健康 公平 研究
- 临床心理学 临床心理学
背景情况:
- 系统性和无意识的偏见可能会影响儿童和青少年 (CYP) 获得医疗保健的机会.
- 了解在获得专业服务方面的种族差异对于公平的护理至关重要.
- 以前的研究还没有完全阐明国家ICT服务中的种族偏见.
研究的目的:
- 调查基于种族的偏见对获取CYP的国家信息服务的影响.
- 分析基于种族的分拣决策,重新转诊和症状严重程度的差异.
- 在转诊过程中评估临床医生感知与自我分配的种族.
主要方法:
- 在18个月的时间内,对被分类转诊的回顾性审查.
- 分析分拣决策,再转诊率和最初症状的严重程度.
- 基于临床医生感知和自我分配的种族结果的比较.
主要成果:
- 在分类过程中没有发现无意识偏见的证据.
- 来自种族少数民族背景的儿童和青少年在服务中代表性不足.
- 在初步评估时,这些CYP的总体需求更大.
结论:
- 准确的种族记录对于未来的研究和服务评估至关重要.
- 地方服务应该对CYP的种族进行审计,并将其转交给国家和专业服务.
- 需要提高对来自少数民族种族背景的患者所面临的挑战的认识.
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