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.
Acad Med. 2020 Dec;95(12S Addressing Harmful Bias and Eliminating Discrimination in Health Professions Learning Environments):S5-S10. doi: 10.1097/ACM.0000000000003683.
The prevalence of harmful bias and discrimination within the health professions is staggering. Moreover, literature consistently demonstrates their persistence and their negative impact on patient care. Several professional codes of conduct for health professionals highlight the importance of addressing these forces in practice. However, despite this, these forces are often discussed as tangential within health professions curricula. This paper examines the prevalence of bias and discrimination, its effects on patient care and health professions trainees, and reviews the historical context of societal bias and discrimination within the health professions institution. The authors argue that addressing harmful bias and discrimination is the professional responsibility of every provider and essential to effective and equitable care.
医疗行业中有害的偏见和歧视普遍存在，令人震惊。此外，文献不断证明它们的持续存在及其对患者护理的负面影响。一些卫生专业人员的行为准则强调了在实践中解决这些问题的重要性。然而，尽管如此，这些力量在卫生专业课程中通常被视为次要问题。本文探讨了偏见和歧视的普遍性，及其对患者护理和卫生专业学员的影响，并回顾了医疗行业机构中社会偏见和歧视的历史背景。作者认为，解决有害的偏见和歧视是每个提供者的职业责任，也是提供有效和公平护理的必要条件。
