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偏倚在脑卒中评估中的作用:重新思考“饼干盗窃”现象。

Bias in Stroke Evaluation: Rethinking the Cookie Theft Picture.

机构信息

Department of Neurology, University of Washington, Seattle (A.S., A.P.D.).

Department of Physiology and Neuroscience, Zilkha Neurogenetic Institute, Los Angeles, CA (P.D.L.).

出版信息

Stroke. 2022 Jun;53(6):2123-2125. doi: 10.1161/STROKEAHA.121.038515. Epub 2022 May 6.

DOI:10.1161/STROKEAHA.121.038515
PMID:35514285
Abstract

Despite a current emphasis on equity in stroke care, one of the most common stroke assessment tools that is used both nationally and internationally, includes an anachronistic image that projects cultural, linguistic, and socioeconomic bias. This image, titled The Cookie Theft picture, is included in the National Institutes of Health Stroke Scale and was originally developed in 1972. Now, 50 years later, it does not reflect our current diverse, linguistically rich, and multicultural patient population.

摘要

尽管目前强调在脑卒中护理中公平,但在国内外都使用的最常见的脑卒中评估工具之一,包含了一个过时的图像,投射出文化、语言和社会经济偏见。这幅图像名为《偷饼干》,包含在国立卫生研究院脑卒中量表中,最初于 1972 年开发。现在,50 年后,它没有反映我们当前多样化、语言丰富和多元文化的患者群体。

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