医疗保健工作人员对种族主义对住院黑人成年人护理的影响的看法和经验:一项定性研究
Natalie Sohn1, Sofia Weiss Goitiandia2, Sharifa Brooks-Smith-Lowe2
1Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Journal of general internal medicine
|January 29, 2026
概括
非临床医院工作人员报告说,工作场所的种族主义和工作人员不足等机构因素导致了对黑人患者的不公平照顾. 解决这些系统性问题对于改善医疗保健公平至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康和疾病的社会学
- 卫生公平研究 卫生公平研究
背景情况:
- 黑人成年人医院护理中的种族差异已经确立,但人际关系和机构种族主义的具体作用尚未完全理解.
- 非临床医师的医院工作人员,通常来自少数群体,对患者护理有独特的见解,但很少在种族主义方面进行研究.
- 了解这些员工的观点对于识别导致医疗保健不平等的机制至关重要.
研究的目的:
- 探索非临床医院工作人员对人际关系和机构种族主义如何影响黑人成人患者医院护理的看法.
- 为了确定特定的工作场所和系统因素被员工认为影响黑人患者的护理质量.
- 收集可以为旨在减少医疗保健种族差异的干预提供信息的见解.
主要方法:
- 一项定性研究,采用与非临床医生医院工作人员的深入,半结构化访谈.
- 整合了基于社区的参与性研究原则,包括一个社区咨询委员会,用于反和成员检查.
- 专题分析用于分析一个大型城市学术医疗中心15名参与者的采访数据.
主要成果:
- 工作人员报告说,他们经历了工作场所的种族主义,并观察到种族刻板印象导致了对黑人患者的不公平照顾.
- 工作人员不足和苛刻的工作量被确定为加剧不公平护理的制度因素.
- 个人"超越"的努力有助于缓解差异,而多样性,公平和包容 (DEI) 倡议因员工排斥而受到混合评价.
结论:
- 黑人患者的医疗保健不平等源于偏见,歧视和对非临床医务人员的系统性投资不足的复杂相互作用.
- 机构因素,特别是人力不足,放大了种族主义信仰,并对黑人患者的护理产生了负面影响.
- 医院必须投资于非临床人员,并解决结构性障碍,以确保为所有患者提供公平的护理.
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