Hershberger Paul J, Bricker Dean A, Castle Angie, Crawford Timothy N, Flowers Stacy R, Goff Alexandria L, Conway Katharine
Department of Family Medicine, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA.
Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA.
Health Equity. 2024 Jun 13;8(1):351-354. doi: 10.1089/heq.2024.0054. eCollection 2024.
There is strong evidence that the implicit biases of health care professionals affect the treatment of patients, and that minority and other marginalized patients are disproportionately harmed. Assumptions made about patient knowledge or lack thereof function as judgments that are prone to bias, which then affect the education and advice imposed upon patients. We review how the motivational interviewing (MI) approach to patient engagement includes components of evidence-based bias-mitigating strategies, such as understanding circumstances from the patient's point of view, and therefore we propose that the MI approach can reduce the impact of bias in patient care.
有充分证据表明,医疗保健专业人员的隐性偏见会影响患者的治疗,少数族裔和其他边缘化患者受到的伤害尤为严重。对患者知识水平的假设(或缺乏相关假设)会形成容易产生偏见的判断,进而影响给予患者的教育和建议。我们回顾了以动机性访谈(MI)方法促进患者参与如何包含基于证据的减轻偏见策略的组成部分,比如从患者角度理解情况,因此我们提出MI方法可以减少偏见对患者护理的影响。