Davis Katie M, Monga Natasha, Sonubi Chiamaka, Asumu Hazel, DeBenedectis Carolynn M, Spalluto Lucy B
Vanderbilt University Medical Center, Department of Radiology and Radiological Sciences, Nashville, TN.
Case Western Reserve University - The MetroHealth System, Department of Radiology, Cleveland, OH.
J Breast Imaging. 2021 Mar 20;3(2):231-239. doi: 10.1093/jbi/wbaa082.
As the population of the United States becomes increasingly diverse, radiologists must learn to both understand and mitigate the impact of health disparities. Significant health disparities persist in radiologic care, including breast imaging. Racial and ethnic minorities, women from lower socioeconomic status, those living in rural areas, and the uninsured bear a disproportionate burden of breast cancer morbidity and mortality. Currently, there is no centralized radiology curriculum focusing on breast health disparities available to residents, breast imaging fellows, or practicing breast radiologists. While patient-, provider-, and system-level initiatives are necessary to overcome disparities, our purpose is to describe educational strategies targeted to breast imaging radiologists at all levels to provide equitable care to a diverse population. These strategies may include, but are not limited to, diversifying the breast imaging workforce, understanding the needs of a diverse population, cultural sensitivity and bias training, and fostering awareness of the existing issues in screening mammography access, follow-up imaging, and clinical care.
随着美国人口日益多样化，放射科医生必须学会理解并减轻健康差异带来的影响。在放射诊疗中，包括乳腺成像领域，显著的健康差异依然存在。少数族裔、社会经济地位较低的女性、农村居民以及未参保者承受着不成比例的乳腺癌发病和死亡负担。目前，没有针对住院医师、乳腺成像专科住院医生或执业乳腺放射科医生的、聚焦乳腺健康差异的集中式放射学课程。虽然需要患者、医疗服务提供者和系统层面的举措来克服差异，但我们的目的是描述针对各级乳腺成像放射科医生的教育策略，以便为多样化人群提供公平的医疗服务。这些策略可能包括但不限于使乳腺成像工作人员多元化、了解多样化人群的需求、进行文化敏感性和偏见培训，以及提高对乳腺钼靶筛查、后续成像和临床护理中现有问题的认识。
