Snowden Lonnie R
School of Social Welfare, University of California, Berkeley 94720, USA.
Am J Public Health. 2003 Feb;93(2):239-43. doi: 10.2105/ajph.93.2.239.
A recent surgeon general's report and various studies document racial and ethnic disparities in mental health care, including gaps in access, questionable diagnostic practices, and limited provision of optimum treatments. Bias is a little studied but viable explanation for these disparities. It is important to isolate bias from other barriers to high-quality mental health care and to understand bias at several levels (practitioner, practice network or program, and community). More research is needed that directly evaluates the contribution of particular forms of bias to disparities in the area of mental health care.
美国卫生局局长最近的一份报告以及多项研究记录了精神卫生保健方面的种族和族裔差异,包括在获得服务方面的差距、可疑的诊断做法以及最佳治疗方案的提供有限。偏见是对这些差异研究较少但合理的一种解释。将偏见与高质量精神卫生保健的其他障碍区分开来,并在多个层面(从业者、实践网络或项目以及社区)理解偏见,这很重要。需要更多的研究来直接评估特定形式的偏见对精神卫生保健领域差异的影响。