Maharaj Anjuli S, Bhatt Nita V, Gentile Julie P
Dr Maharaj is with Wright State University Boonshoft School of Medicine in Fairborn, Ohio.
Dr. Bhatt is the Associate Director of Medical Student Education in Psychiatry at Wright State University Boonshoft School of Medicine in Fairborn, Ohio.
Innov Clin Neurosci. 2021 Jul-Sep;18(7-9):39-43.
It is well documented that people of color face disparities in access to and quality of healthcare. There are inequities in healthcare outcomes as well. The biases of healthcare providers are one of the many factors that contribute to healthcare incongruence. Often overlooked, race impacts therapeutic relationships and highlights ingrained patterns of binary thinking, thereby creating hierarchies. Some physicians experience anxiety regarding addressing racism, leading to avoidance of its existence and effects on the physician-patient alliance. Others address the dynamics by bringing the patient's family experiences and lived experience "in the room." By following the "emotional red thread," we can bring clarity to the issue of making racism a neutral topic of conversation in treatment. As it has so often in the past, racism should not and cannot be ignored.
有充分的文献记载表明，有色人种在获得医疗保健的机会和医疗质量方面面临差异。医疗保健结果也存在不公平现象。医疗服务提供者的偏见是导致医疗保健不一致的众多因素之一。种族问题常常被忽视，它影响治疗关系，并凸显了根深蒂固的二元思维模式，从而造成了等级制度。一些医生在处理种族主义问题时会感到焦虑，导致回避其存在及其对医患联盟的影响。另一些医生则通过将患者的家庭经历和生活经历“带入诊室”来处理这种动态关系。通过遵循“情感红线”，我们可以澄清在治疗中将种族主义作为中立话题进行讨论的问题。正如过去经常发生的那样，种族主义不应该也不能被忽视。
