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从背景到解决方案:消除临床电生理实践中的性别差距。

From background to solutions: Eliminating sex gaps in clinical electrophysiology practice.

作者信息

Amuthan Ram, Curtis Anne B

机构信息

Department of Medicine, Jacobs School of Medicine & Biomedical Sciences, University at Buffalo, Buffalo, New York.

出版信息

Heart Rhythm O2. 2022 Dec 16;3(6Part B):817-826. doi: 10.1016/j.hroo.2022.09.004. eCollection 2022 Dec.

Abstract

Sex, a biological construct, and gender, a sociocultural construct, both influence the epidemiology and outcomes of various cardiac arrhythmias, leading to disparities that have been observed in clinical practice. Addressing disparities is crucial to improve the quality of clinical care. We recognize gender equality as the ultimate goal to ensuring equitable health care and propose the following strategies to achieve the goal: sex- and gender-stratified research, quality improvement initiatives, implicit bias training, promotion of women into leadership positions in cardiology, peer support, and shared decision-making to help mitigate disparities. However, further research on how to improve the widespread adoption and implementation of such strategies in the clinical setting is required.

摘要

性别是一种生物学概念,而社会性别是一种社会文化概念,二者都会影响各种心律失常的流行病学特征和预后,从而导致临床实践中出现差异。解决这些差异对于提高临床护理质量至关重要。我们将性别平等视为确保医疗保健公平的最终目标,并提出以下策略来实现这一目标:按性别分层的研究、质量改进举措、隐性偏见培训、促进女性担任心脏病学领导职务、同伴支持以及共同决策,以帮助减轻差异。然而,还需要进一步研究如何在临床环境中更好地推广和实施这些策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b718/9795315/ed33a3ee5471/fx1.jpg

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