Department of Anesthesiology & Pain Medicine, University of Ottawa, The Ottawa Hospital, Ottawa, ON, Canada.
Division of Palliative Medicine, Department of Medicine, University of Ottawa, The Ottawa Hospital, 501 Smyth Rd, Room 1401, Ottawa, ON, K1H 8L6, Canada.
Can J Anaesth. 2023 Jun;70(6):1075-1089. doi: 10.1007/s12630-023-02504-4. Epub 2023 Jun 21.
This continuing professional development module aims to elucidate the current demographics of anesthesiology in Canada and the experience of anesthesiologists from equity-seeking groups. This module will also identify and describe factors impacting the health care experience of patients from equity-seeking groups who receive perioperative, pain, and obstetric care.
In recent years, discrimination based on sex, gender, race, ethnicity, sexual orientation, ability, other demographic factors, and the intersection of these identities have gained greater attention not only in our society at large but also within medicine and anesthesiology. The stark consequences of this discrimination for both anesthesiologists and patients from equity-seeking groups have become clearer in recent years, although the full scope of the problem is not fully understood. Data regarding the demographics of the national anesthesia workforce are lacking. Literature describing patient perspectives of various equity-seeking groups is also sparse, although increasing. Health disparities impacting people who are racialized, women, LGBTQIA+, and/or living with disability are also present in the perioperative context.
Discrimination and inequity persist in the Canadian health care system. It is incumbent upon us to actively work against these inequities every day to create a kinder and more just health care system in Canada.
本持续专业发展模块旨在阐明加拿大麻醉学的当前人口统计学特征，以及来自寻求公平群体的麻醉师的经验。本模块还将确定并描述影响接受围手术期、疼痛和产科护理的来自寻求公平群体的患者的医疗体验的因素。
近年来，基于性别、性别、种族、民族、性取向、能力、其他人口统计学因素以及这些身份的交叉的歧视不仅在我们的整个社会中，而且在医学和麻醉学中受到了更多的关注。近年来，这种歧视对寻求公平的麻醉师和患者的明显后果变得更加清晰，尽管问题的全貌尚未完全理解。关于国家麻醉人员队伍人口统计学的数据缺乏。描述各种寻求公平群体的患者观点的文献也很稀少，尽管正在增加。在围手术期环境中，也存在影响有色人种、妇女、LGBTQIA+和/或残疾人士的健康差距。
歧视和不平等在加拿大的医疗保健系统中仍然存在。我们有责任每天积极反对这些不平等，在加拿大创建一个更友善、更公正的医疗保健系统。
