Cambia Palliative Care Center of Excellence at UW Medicine (C.E.B., J.R.C.), University of Washington, Seattle, Washington; Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine (C.E.B., J.R.C.), University of Washington, Seattle, Washington.
Cambia Palliative Care Center of Excellence at UW Medicine (C.E.B., J.R.C.), University of Washington, Seattle, Washington; Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine (C.E.B., J.R.C.), University of Washington, Seattle, Washington.
J Pain Symptom Manage. 2022 May;63(5):e465-e471. doi: 10.1016/j.jpainsymman.2021.11.012. Epub 2021 Nov 29.
Racial inequities in palliative and end-of-life care have been well-documented for many years. This inequity is long-standing and resistant to many intervention efforts. One reason for this may be that research in racial inequity in palliative care, and the interventions developed, do not account for the effects of race and the everyday racism that patients of color experience while navigating the healthcare system. Public Health Critical Race Praxis (PHCRP) offers researchers new routes of inquiry to broaden the scope of research priorities in palliative care and improving racial outcomes through a novel conceptual framework and methodology. PHCRP, based off critical race theory (CRT), contains 10 principles within four foci to guide researchers toward a more race conscious approach for the generation of research questions, research processes, and development of interventions targeting racial inequities.
多年来，在姑息治疗和临终关怀方面存在明显的种族不平等现象。这种不平等现象由来已久，并且抵制了许多干预措施。造成这种情况的一个原因可能是，姑息治疗中种族不平等的研究以及开发的干预措施并没有考虑到种族的影响以及有色人种患者在医疗保健系统中所经历的日常种族主义。公共卫生关键种族实践（PHCRP）为研究人员提供了新的探究途径，通过一种新颖的概念框架和方法，拓宽姑息治疗研究重点的范围，并改善种族结果。PHCRP 基于关键种族理论（CRT），包含四个重点的 10 个原则，指导研究人员采用更具种族意识的方法来提出研究问题、研究过程和开发针对种族不平等的干预措施。
