在医院环境中评估严重精神疾病患者决策能力的偏见
Alexandria Nasr1, Larrilyn Grant1, Jennifer Golida1
1All authors are affiliated with the Boonshoft School of Medicine at Wright State University in Dayton, Ohio.
Innovations in clinical neuroscience
|February 6, 2026
概括
隐性偏见可能导致精神病患者,特别是少数群体的决策能力 (DMC) 评估不准确. 解决这些偏见对于确保公平和道德的患者护理和自主性至关重要.
科学领域:
- 精神病学是一个精神病学.
- 生物伦理学生物伦理学
- 健康 公平 卫生 公平
背景情况:
- 决策能力 (DMC) 对于临床护理中的知情治疗选择至关重要.
- 准确的DMC评估对于患有严重精神疾病 (SMI) 的患者在精神病学环境中至关重要.
- SMI可能会影响认知和判断,但并不意味着失能.
研究的目的:
- 检查隐性,种族和认知偏见如何影响精神病患者的DMC评估.
- 确定这些偏见如何导致健康差异,特别是黑人和西班牙裔SMI患者.
- 探索减轻DMC评估中的偏差策略.
主要方法:
- 关于DMC评估中的偏见的文献综述.
- 分析诊断阴影,关于洞察力的假设和文化传播误解的错误解释.
- 检查标准化工具及其在文化和种族因素方面的局限性.
主要成果:
- 隐含的偏见,种族偏见和认知偏见可能导致错误的DMC决定.
- 诊断的掩盖和文化误解不成比例地影响了黑人和西班牙裔SMI患者.
- 虽然认知障碍影响DMC,但许多SMI患者保留了决策能力.
结论:
- 减少DMC评估中的偏见需要临床医生教育和文化知情协议.
- 跨学科的决策和宣传资源可以改善公平的评估.
- 基于道德的DMC评估对于患者在不同人群中的自主性至关重要.
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