种族的语言差异在紧急医疗标准化评估信的叙事部分的种族
Symphony Fletcher1, Keme Carter2, James Ahn2
1University of Chicago, Pritzker School of Medicine, Chicago, Illinois.
The western journal of emergency medicine
|December 11, 2025
概括
黑人和西班牙裔医学院申请者在紧急医疗住院评估中得到了更多的"同情"语言. 然而,在这些标准化评估信中,在其他评估的语言类别中没有发现种族差异.
科学领域:
- 医学教育 医学教育
- 住院招生 住院招生
- 在医疗保健中的语言分析.
背景情况:
- 种族/民族歧视和偏见在医学教育中很普遍.
- 评估工具的差异可能会影响居住地匹配结果.
- 在紧急医疗 (EM) 标准化评估信件 (SLOE) 中,关于种族语言差异的研究有限.
研究的目的:
- 调查EM SLOEs叙事部分使用的语言的种族差异.
- 识别可能存在语言差异的特定词语类别.
主要方法:
- 分析EM居住申请人SLOE叙事部分的词语类别频率.
- 关键词被分类为代理,突出特征,能力,磨石习惯,成就和同情心.
- 奇平方分析和逻辑回归被用来比较词语使用的种族,控制其他应用因素.
主要成果:
- 与白人申请人相比,黑人和西班牙裔申请人的SLOE含有"同情心"关键词的比例较高 (24.9%和22.4%对16.9%).
- 在对其他申请因素进行控制后,对黑人申请人的这一发现仍然很重要 (OR 1.61).
- 在其他五个主题类别中,没有观察到种族对词语使用的显著差异.
结论:
- 在EM SLOE中使用"同情"语言存在显著差异,黑人申请人更经常使用这些术语来描述.
- 在其他语言类别中没有差异,这表明与其他叙事评估研究相比,总体偏见可能更小.
- 需要进一步的研究,以了解这些语言差异在居住选择中的影响.
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