Mittman Ilana Suez, Sullivan Louis W
Center to Reduce Cancer Disparities, Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
J Genet Couns. 2011 Dec;20(6):547-55. doi: 10.1007/s10897-011-9402-9. Epub 2011 Aug 16.
Diversifying the nation's health professions is essential in order to maintain a vigorous health workforce, able to respond to the needs of all Americans. The inability of the health workforce to keep pace with the changing demographics of the nation is a major cause of the persistent inequities in access to quality health care for ethnic and racial minorities in the U.S. Ethnic and racial minorities have been underrepresented in the genetic counseling profession since its inception, despite vigorous professional initiatives to remedy this situation. Mittman and Downs published a critical review of these initiatives detailing recommendations for change in this journal in 2008. One of their major recommendations was the need to learn from, and join, efforts with other health professions in seeking to increase professional diversity in genetic counseling. This paper reviews new findings on issues impacting health workforce diversity in the nation, presents a case study of a national best practice to diversify the health workforce and illuminates actions that can be taken by the genetic counseling profession. The Sullivan Alliance to Diversify the Health Professions is a culmination of two historic initiatives for addressing the dearth of minority health professionals and is a national catalyst for increasing diversity within the health professions by forging state collaborations among institutions of higher education, health professions schools and other key stakeholders.
使全国卫生专业多样化对于维持一支充满活力、能够满足所有美国人需求的卫生人力队伍至关重要。卫生人力无法跟上国家不断变化的人口结构,这是美国少数族裔在获得优质医疗保健方面长期存在不平等现象的一个主要原因。自遗传咨询行业创立以来,少数族裔在该行业中的代表性一直不足,尽管有积极的专业举措来纠正这种情况。米特曼和唐斯在2008年发表了一篇对这些举措的批判性综述,详细阐述了在本期刊上提出的变革建议。他们的一项主要建议是,在寻求增加遗传咨询专业多样性方面,需要向其他卫生专业学习并与之合作。本文回顾了关于影响美国卫生人力多样性问题的新发现,介绍了一个使卫生人力多样化的全国最佳实践案例研究,并阐明了遗传咨询行业可以采取的行动。沙利文卫生专业多样化联盟是两项解决少数族裔卫生专业人员短缺问题的历史性举措的成果,是通过在高等教育机构、卫生专业学校和其他关键利益相关者之间建立州级合作关系来增加卫生专业多样性的全国性推动者。