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糖尿病的种族和社会影响:一份自传体病例报告。

Racial and Social Impacts of Diabetes Mellitus: An Autobiographical Case Report.

作者信息

Smith Tyler K

机构信息

Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, USA.

Department of Pediatrics, Children's Mercy Kansas City, Kansas City, USA.

出版信息

Cureus. 2021 Dec 6;13(12):e20211. doi: 10.7759/cureus.20211. eCollection 2021 Dec.

Abstract

Type two diabetes mellitus is a chronic medical condition encountered by physicians providing medical care to adult and pediatric patients. This autobiographical case report discusses type two diabetes from the perspective of positive and negative interactions with the healthcare system in managing diabetes mellitus, especially for a physician of color and underrepresented in medicine. Bias and assumptions occur for some people diagnosed with diabetes mellitus or presumed to have the disease based on age, body habitus, comorbidities, lived environment, race, and ethnicity. I specifically address the social implications of bias experienced by persons of color strictly based on race and ethnicity. Intensified awareness about systemic and institutional racism in healthcare warrants eliminating the inequities and disparities in the medical management and treatment of diabetes mellitus.

摘要

2型糖尿病是为成人和儿童患者提供医疗服务的医生所遇到的一种慢性疾病。这份自传式病例报告从医疗系统在管理糖尿病方面的正负相互作用的角度来探讨2型糖尿病,特别是对于医学领域中代表性不足的有色人种医生而言。对于一些被诊断患有糖尿病或根据年龄、体型、合并症、生活环境、种族和民族被推测患有该疾病的人,会存在偏见和假设。我专门探讨了有色人种仅仅基于种族和民族所经历的偏见的社会影响。加强对医疗保健中系统性和制度性种族主义的认识,有必要消除糖尿病医疗管理和治疗中的不公平和差异。

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