当患者经历不平等的医疗保健成为常态时，应该如何考虑医源性伤害？

When Experiencing Inequitable Health Care Is a Patient's Norm, How Should Iatrogenic Harm Be Considered?

机构信息

Psychiatric nurse and doctoral student in the School of Nursing at the University of California, Los Angeles.

Psychiatric nurse and assistant professor in the School of Nursing and the Jonathan and Karin Fielding School of Public Health at the University of California, Los Angeles.

出版信息

AMA J Ethics. 2022 Aug 1;24(8):E729-734. doi: 10.1001/amajethics.2022.729.

DOI:10.1001/amajethics.2022.729

PMID:35976928

Abstract

Inequitable care and outcomes experienced by persons with mental illness have long been exacerbated by stigma expressed by clinicians. This commentary discusses a case, considers physical and psychological dimensions of iatrogenic harm to patients for whom inequitable health care is the norm, and suggests how psychological iatrogenic harm can be recognized and addressed by clinicians.

摘要

精神疾病患者长期以来一直受到临床医生表达的污名化的影响，导致他们获得的医疗服务存在不平等和不良结果。本评论讨论了一个案例，考虑了对那些不平等医疗服务成为常态的患者造成的医源性伤害的身体和心理层面，并提出了临床医生如何识别和处理心理医源性伤害的建议。