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医学中的种族主义与健康公平挑战。

Challenges of Racism and Health Equity in Medicine.

出版信息

Narrat Inq Bioeth. 2021;11(3):271-274. doi: 10.1353/nib.2021.0083.

Abstract

The racial/ethnic populations in the United States, in general, have less access to quality health care and behavioral healthcare services than the Caucasian population. They face barriers to access health care access, and experience higher rates of chronic diseases and complications with heart disease, diabetes, cancer, HIV, and obesity. Increasing the number of racial/ethnic physicians is one way to build trust, provide patient-centered and cultural quality care, and attract racial/ethnic patients to healthcare services. However, the inherent structural racism of medicine and implicit bias of physicians makes this challenging. In this collection of stories from racial/ethnic physicians, trainees, and other health care providers, authors focus on the trauma they have experienced with racist patients and colleagues during their careers, yet discuss how what they have learned is important for medical education for other healthcare providers like them.

摘要

美国的种族/民族群体普遍比白人群体获得优质医疗保健和行为健康服务的机会更少。他们在获得医疗保健方面面临障碍,并且更容易患上心脏病、糖尿病、癌症、艾滋病和肥胖等慢性疾病和并发症。增加种族/民族医生的数量是建立信任、提供以患者为中心和文化素质的护理以及吸引种族/民族患者接受医疗服务的一种方式。然而,医学中的固有结构性种族主义和医生的隐性偏见使得这具有挑战性。在这些来自种族/民族医生、受训者和其他医疗保健提供者的故事集中,作者重点讲述了他们在职业生涯中与种族主义患者和同事经历的创伤,但也讨论了他们所学到的东西对像他们这样的其他医疗保健提供者的医学教育的重要性。

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