减轻临床医生对性少数和性别少数患者的隐性偏见的策略。
Strategies to Mitigate Clinician Implicit Bias Against Sexual and Gender Minority Patients.
作者信息
McDowell Michal J, Goldhammer Hilary, Potter Jennifer E, Keuroghlian Alex S
机构信息
Department of Psychiatry, Harvard Medical School, Boston, MA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA; Department of Psychiatry, McLean Hospital, Belmont, MA.
National LGBT Health Education Center at The Fenway Institute, Fenway Health, Boston, MA.
出版信息
Psychosomatics. 2020 Nov-Dec;61(6):655-661. doi: 10.1016/j.psym.2020.04.021. Epub 2020 May 23.
BACKGROUND
Implicit bias is an ingrained, unconscious cultural stereotype that can negatively affect a person's interactions with members of stigmatized groups, including sexual and gender minorities. Clinician implicit biases may negatively impact the quality of patient care.
METHODS
This article uses 4 case scenarios to illustrate how implicit bias among psychiatrists and other clinicians can affect patient-clinician communication and diminish the quality of health care provided to sexual and gender minority people. We offer strategies for clinicians to recognize, challenge, and address implicit bias.
DISCUSSION
Through continuing education, self-reflection, and practice, psychiatrists and other clinicians can improve communication and foster more affirming care experiences for their sexual and gender minority patients, with the goal of addressing and ultimately eliminating sexual and gender minority health disparities.
背景
隐性偏见是一种根深蒂固、无意识的文化刻板印象，会对一个人与受污名化群体（包括性少数群体和性别少数群体）成员的互动产生负面影响。临床医生的隐性偏见可能会对患者护理质量产生负面影响。
方法
本文使用4个案例场景来说明精神科医生和其他临床医生中的隐性偏见如何影响医患沟通，并降低为性少数群体和性别少数群体提供的医疗保健质量。我们为临床医生提供了识别、挑战和应对隐性偏见的策略。
讨论
通过继续教育、自我反思和实践，精神科医生和其他临床医生可以改善沟通，并为他们的性少数群体和性别少数群体患者营造更积极肯定的护理体验，目标是解决并最终消除性少数群体和性别少数群体的健康差距。
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