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儿科领域的女性:进步、障碍以及公平、多样性和包容性的机会。

Women in Pediatrics: Progress, Barriers, and Opportunities for Equity, Diversity, and Inclusion.

机构信息

Executive Leadership in Academic Medicine Program, Department of Pediatrics, College of Medicine, Drexel University, Philadelphia, Pennsylvania;

University Health and Counseling Services, Northeastern University, Boston, Massachusetts.

出版信息

Pediatrics. 2019 Nov;144(5). doi: 10.1542/peds.2019-2149. Epub 2019 Sep 23.

Abstract

Gender bias and discrimination have profound and far-reaching effects on the health care workforce, delivery of patient care, and advancement of science and are antithetical to the principles of professionalism. In the quest for gender equity, medicine, with its abundance of highly educated and qualified women, should be leading the way. The sheer number of women who comprise the majority of pediatricians in the United States suggests this specialty has a unique opportunity to stand out as progressively equitable. Indeed, there has been much progress to celebrate for women in medicine and pediatrics. However, many challenges remain, and there are areas in which progress is too slow, stalled, or even regressing. The fair treatment of women pediatricians will require enhanced and simultaneous commitment from leaders in 4 key gatekeeper groups: academic medical centers, hospitals, health care organizations, and practices; medical societies; journals; and funding agencies. In this report, we describe the 6-step equity, diversity, and inclusion cycle, which provides a strategic methodology to (1) examine equity, diversity, and inclusion data; (2) share results with stakeholders; (3) investigate causality; (4) implement strategic interventions; (5) track outcomes and adjust strategies; and (6) disseminate results. Next steps include the enforcement of a climate of transparency and accountability, with leaders prioritizing and financially supporting workforce gender equity. This scientific and data-driven approach will accelerate progress and help pave a pathway to better health care and science.

摘要

性别偏见和歧视对医疗保健队伍、患者护理的提供以及科学的进步都有着深远的影响,与专业精神的原则背道而驰。在追求性别平等方面,医学领域拥有大量受过高等教育和合格的女性,应该走在前列。在美国,绝大多数儿科医生都是女性,这表明该专业有独特的机会成为公平的典范。事实上,医学和儿科学领域的女性已经取得了许多值得庆祝的进步。然而,仍有许多挑战存在,而且在某些领域,进展过于缓慢、停滞不前,甚至出现倒退。要公平对待女儿科医生,就需要学术医疗中心、医院、医疗保健组织和医疗机构、医学协会、期刊和资助机构这 4 个关键把关群体的领导者做出更多、更同步的承诺。在本报告中,我们描述了公平、多样性和包容性的 6 步循环,为(1)审查公平、多样性和包容性数据;(2)与利益相关者分享结果;(3)调查因果关系;(4)实施战略干预;(5)跟踪结果并调整策略;(6)传播结果提供了一个战略方法。下一步包括实施透明和问责制的风气,领导者要优先考虑并在财务上支持劳动力的性别平等。这种科学和数据驱动的方法将加速进展,并有助于为更好的医疗保健和科学铺平道路。

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