污名化母亲:产前记录中语言的定性分析
Narrative inquiry in bioethics
|November 10, 2025
概括
孕妇患者在医疗记录中面临道德判断,导致偏见的护理和健康差异. 这项研究发现,在产科记录中存在污名化的语言,这凸显了需要采取干预措施,以确保公平的孕产妇保健.
科学领域:
- 医学社会学 医学社会学
- 医疗保健的不平等 医疗保健的不平等
- 临床文档分析 临床文档分析
背景情况:
- 孕妇在医疗保健机构中经常遇到道德上的判断.
- 这种偏见可以嵌入到临床文档中,使不平等持续下去.
- 医疗记录中的污名化语言有助于孕产妇健康结果的差异.
研究的目的:
- 在产科记录中识别那些传达负面态度或道德判断的语言特征.
- 分析患者的证词和母亲的健康状况是如何在临床笔记中表现出来的.
- 了解文档在孕产妇保健中延续偏见的作用.
主要方法:
- 从100名随机选择的患者的产科记录进行了定性分析.
- 检查学术医院系统的产前和分娩护理文件.
- 在患者记录中识别与认识不公正和道德判断有关的主题.
主要成果:
- 识别了认识不公正的主题,包括使患者证词失去信誉 (例如,将其标记为歇斯底里).
- 在患者记录中发现不必要的,客观化的或不专业的细节.
- 观察到对孕产妇健康状况的判断,女性根据感知特征被负面标记.
结论:
- 倡导进一步验证医疗记录中对污名化语言的发现.
- 建议重新审视医学教育,以解决文档中隐含的偏见.
- 支持自然语言处理 (NLP) 工具的开发,以检测和减轻临床笔记中的污名.
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