UCLA Center for Health Services and Society, 10920 Wilshire Boulevard, Suite 300, Los Angeles, CA 90024, USA.
Department of Psychiatry and Biobehavioral Sciences, UCLA, UCLA's Center for Health Services and Society, 10920 Wilshire Boulevard, Suite 300, Los Angeles, CA 90024, USA.
Psychiatr Clin North Am. 2020 Sep;43(3):451-469. doi: 10.1016/j.psc.2020.05.002. Epub 2020 Jul 7.
Racism is an important determinant of health and health disparities, but few strategies have been successful in eliminating racial discrimination from medical practice. This article proposes a novel antiracist approach to clinical care that acknowledges the racism shaping the clinical encounter and historical arc of racial oppression embedded in health care. Although preliminary, this approach can be easily implemented into clinical care and may reduce the harm done by racism. It could also serve as a template for antiracist service provision in other sectors, such as education and law enforcement.
种族主义是健康和健康差异的一个重要决定因素，但很少有策略能够成功地从医学实践中消除种族歧视。本文提出了一种新的反种族主义临床护理方法，承认种族主义塑造了临床接触，并认识到医疗保健中种族压迫的历史轨迹。虽然这只是初步的尝试，但这种方法可以很容易地应用于临床护理中，并可能减少种族主义造成的伤害。它也可以作为其他领域，如教育和执法部门提供反种族主义服务的模板。
