Dettwiller Pascale, Ghiya Suhani, McLean Jurga, O'Callaghan Stewart, Sanni AdeDolapo, Shaunak Nisha, So Lilia, Williamson Steve, Nabhani-Gebara Shereen
Pharmacy Department, Department of Rural Health, The University of South Australia, Port Lincoln, South Australia, Australia.
Pharmacy Department, The Rotherham NHS Foundation Trust, Rotherham, South Yorkshire, UK.
J Oncol Pharm Pract. 2025 Sep;31(6):878-886. doi: 10.1177/10781552241264717. Epub 2024 Jul 23.
IntroductionEquity, Diversity, and Inclusion (EDI) is gaining increased attention within all industries healthcare being no exception. The terminology Equity, Diversity, and Inclusion and its abbreviation EDI gained popularity in the early 2000's when varied socio-political factors prompted many organisations to examine EDI concepts and how to operationalise them. The growing diversity of our society requires cross-cultural inclusive approaches to increase equity and access to services.MethodThis unique research is community-led research supported by the British Oncology Pharmacy Association, in which the members of the BOPA community are equal partners to inform action on policies that address EDI. This research was a cross-sectional study involving an online survey of financial BOPA members.ResultsDemographic data was extracted, and the quotes were analysed for common themes. The majority of respondents were women, and the largest age group was between 34 and 44. The first cause of microaggressions identified by the respondents was of racial and ethnic origin, followed by marital status and religious nature. Participants described the lack of diversity in senior positions and the microaggressions experienced by those who hold leadership positions. Some participants described how some situations at work made them feel excluded or alienated. The impact of discrimination and bullying/microaggressions extended to patients was also reported.ConclusionDespite strategic directions encompassing this aspect, this research underscores the pressing need for more evidence on the lack of EDI in healthcare institutions. Our findings, located in the pharmacy oncology specialty, have identified the problem and highlighted the potential benefits of addressing it. More needs to be done in training and professional development to address unconscious bias and change behaviours.
引言
公平、多样性和包容性(EDI)在所有行业中都越来越受到关注,医疗行业也不例外。公平、多样性和包容性这一术语及其缩写EDI在21世纪初开始流行,当时各种社会政治因素促使许多组织审视EDI概念以及如何将其付诸实践。我们社会日益增长的多样性要求采用跨文化的包容性方法来提高公平性和服务可及性。
方法
这项独特的研究是由英国肿瘤药学协会支持的社区主导研究,其中BOPA社区的成员是平等伙伴,为制定解决EDI问题的政策提供依据。这项研究是一项横断面研究,涉及对BOPA财务成员的在线调查。
结果
提取了人口统计学数据,并对引述内容进行了共同主题分析。大多数受访者为女性,最大年龄组在34至44岁之间。受访者确定的微侵犯的首要原因是种族和民族出身,其次是婚姻状况和宗教性质。参与者描述了高级职位缺乏多样性以及担任领导职位的人所经历的微侵犯。一些参与者描述了工作中的某些情况如何让他们感到被排斥或疏离。还报告了歧视和欺凌/微侵犯对患者的影响。
结论
尽管有涵盖这方面的战略方向,但这项研究强调迫切需要更多关于医疗机构中缺乏EDI的证据。我们在肿瘤药学专业领域的研究结果已经确定了问题,并突出了解决该问题的潜在好处。在培训和专业发展方面还需要做更多工作,以解决无意识偏见并改变行为。