Assistant professor in the McGovern Center for Humanities and Ethics at the University of Texas Health Science Center at Houston.
AMA J Ethics. 2022 Aug 1;24(8):E768-772. doi: 10.1001/amajethics.2022.768.
Access to care is a health determinant because health care resources, interventions, and personnel help maintain health and well-being. In addition to social determinants' roles in health inequity, clinicians' racial bias undermines the quality of Black persons' health care experiences and is a pathway to iatrogenic harm. This article considers pain management and limb amputation outcomes as examples of how clinicians' racial biases exacerbate inequitable access to health care for Black people in the United States.
获得医疗服务是健康的决定因素，因为医疗保健资源、干预措施和人员有助于维护健康和福祉。除了社会决定因素在健康不平等中的作用外，临床医生的种族偏见还会损害黑人的医疗服务体验质量，并导致医源性伤害。本文以疼痛管理和肢体截肢结果为例，说明了临床医生的种族偏见如何加剧了美国黑人获得医疗服务的不平等。
