言外之意：在卫生专业学习环境中消除偏见和减少歧视的愿景。
More Than Words: A Vision to Address Bias and Reduce Discrimination in the Health Professions Learning Environment.
机构信息
C.M. Mateo is associate director, anti-racism curriculum and faculty development and instructor of pediatrics, Harvard Medical School, and attending physician, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
D.R. Williams is the Florence Sprague Norman and Laura Stuart Norman professor of public health and chair, Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, and professor of African and African American studies, Harvard University, Cambridge, Massachusetts.
出版信息
Acad Med. 2020 Dec;95(12S Addressing Harmful Bias and Eliminating Discrimination in Health Professions Learning Environments):S169-S177. doi: 10.1097/ACM.0000000000003684.
Bias and discrimination are embedded within the history, norms, and practices of the health professions institution, and their negative impacts are pervasive in the health professions learning environment. These forces impair the ability to take care of patients, recruit and support diverse health care providers, and prepare the next generation of clinicians for practice. Fortunately, there are effective interventions and strategies for addressing bias and discrimination within learning environments and to both prevent and ameliorate their negative effects. This Perspective lays out a vision for health professions learning environments that are free from bias and discrimination and makes 5 recommendations, with supporting actions, that will help the leaders of health care institutions achieve this goal.
偏见和歧视存在于医疗保健专业机构的历史、规范和实践中，它们的负面影响在医疗保健专业的学习环境中普遍存在。这些因素削弱了照顾患者、招募和支持多元化医疗保健提供者以及为下一代临床医生做好实践准备的能力。幸运的是，在学习环境中存在有效的干预措施和策略，可以解决偏见和歧视问题，并预防和减轻其负面影响。本观点阐述了一个没有偏见和歧视的医疗保健专业学习环境的愿景，并提出了 5 项建议及配套行动，帮助医疗保健机构的领导者实现这一目标。
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