Wong Yut-Lin
Department of Health Research Development, Medical Education & Health Research Development Unit, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Asia Pac J Public Health. 2009 Oct;21(4):359-76. doi: 10.1177/1010539509337730. Epub 2009 Aug 5.
Gender inequalities in health and gender bias in medicine are interrelated challenges facing health care providers and educators. Women and girls are disadvantaged in accessing health care because of their low social status and unequal treatment in medical care. Gender bias has long been inherent in clinical practice, medical research, and education. This can be traced to the medical curriculum that shapes the perceptions, attitudes, and behavior of the future doctor. The author advocates medical curricula change to address gender inequalities in health and gender bias in medicine. She analyses the reasons for integration of gender competencies in the medical curriculum, discusses what gender competencies are, and reviews ways to in-build gender competencies and their assessment. Efforts to change and gender sensitize medical curricula in developed and developing countries are also reviewed. The review hopes to contribute to strategic medical curriculum reform, which would lead to gender-sensitive health services and equity in health.
健康方面的性别不平等以及医学中的性别偏见是医疗服务提供者和教育工作者面临的相互关联的挑战。妇女和女孩在获得医疗保健方面处于不利地位,因为她们社会地位低下且在医疗护理中受到不平等对待。性别偏见长期以来一直存在于临床实践、医学研究和教育中。这可以追溯到塑造未来医生观念、态度和行为的医学课程。作者主张改变医学课程,以解决健康方面的性别不平等和医学中的性别偏见。她分析了将性别能力纳入医学课程的原因,讨论了什么是性别能力,并回顾了构建性别能力及其评估的方法。还回顾了发达国家和发展中国家在改变医学课程并使其具有性别敏感性方面所做的努力。该综述希望为战略性医学课程改革做出贡献,这将带来对性别问题敏感的卫生服务和健康公平。