Parsons Sharon
School of Doctoral Studies, Grand Canyon University, West Palm Beach, Florida, USA.
Int J Health Serv. 2020 Oct;50(4):371-386. doi: 10.1177/0020731420940961. Epub 2020 Jul 8.
This article reviews the literature on racism in medicine in the United States and reflects on the persistent barriers to diminishing racial biases in the U.S. health care system. Espoused strategies for decreasing racial disparities and reducing racial biases among physicians are critiqued, and recommendations are offered. Those recommendations include increasing the number of minority students in medical school, using Xavier University in New Orleans, Louisiana, as the model for medical school preparation; revamping the teaching of cultural competence; ensuring the quality of non-clinical staff; and reducing the risk of burnout among medical providers.
本文回顾了美国医学领域中有关种族主义的文献,并思考了美国医疗保健系统在减少种族偏见方面持续存在的障碍。对所倡导的减少种族差异和减少医生种族偏见的策略进行了批判,并提出了建议。这些建议包括增加医学院少数族裔学生的数量,以路易斯安那州新奥尔良市的泽维尔大学为医学院预科模式;改进文化能力教学;确保非临床工作人员的素质;以及降低医疗服务提供者职业倦怠的风险。