医疗保健专业实践中的认识不公正:一个范围审查
Elizabeth Hornyak-Bell1, Aliki Thomas2, Allison Chrestensen1
1Institute of Health Sciences Education, Faculty of Medicine and Health Sciences, McGill University, 1110 Pine Avenue West, Montreal, Quebec, H3A 1A3, Canada.
Social science & medicine (1982)
|February 8, 2026
概括
医疗保健专业人员经历了认识系统的不公正,影响了他们的信誉和福祉. 这次审查确定了诸如信誉等级和身份压力等主题,敦促进行公平知识共享的改革.
科学领域:
- 医疗保健道德 医疗保健道德
- 医学社会学 医学社会学
- 专业研究 专业研究
背景情况:
- 认识不公正,定义为一个人作为一个知者的能力不公平的待遇,显著影响医疗保健专业人员的信誉,自主性和整体福祉.
- 了解这些不公正对于改善医疗保健实践和专业经验至关重要.
研究的目的:
- 对医疗保健专业实践中的认识不公正进行范围审查,重点关注从业者的生活经验.
- 综合现有的关于医疗保健环境中的认识不公正的性质,表现和影响的文献.
主要方法:
- 从2007年到2024年,对英语和法语出版物进行了对八个数据库的全面搜索,遵循阿克西和奥马利 (2005) 的范围审查方法.
- 从4186个检索的记录中选择了30篇相关论文,重点是定性和理论分析.
主要成果:
- 医疗保健中的认识不公正主要通过证词和解释不公正来理解,并随着概念的演变而演变.
- 五个关键主题出现了:认识论信誉的层次结构,认识论政治,受制于从业者机构,身份压力和交叉身份.
- 第六个主题确定了减轻认识不公正的方法,强调了结构和教育改革的必要性.
结论:
- 医疗保健专业实践中的认识不公正是复杂的,上下文的,通常是微妙的,影响知识共享动态.
- 需要更细致的概念化,提高对其影响的认识,以及系统性变革,以促进公平的知识环境.
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