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英国医疗保健系统中的种族微侵犯:一项叙述性综述。

Racial microaggressions within the UK Healthcare System: a narrative review.

作者信息

Firi Promise, Baryeh Kwaku

机构信息

Bristol Royal Hospital for Children, Bristol, UK.

Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

出版信息

JRSM Open. 2024 Aug 2;15(8):20542704241232861. doi: 10.1177/20542704241232861. eCollection 2024 Aug.

Abstract

Racial microaggressions are subtle and everyday actions that communicate derogatory messages or assumptions based on an individual's race. These seemingly minor acts, often unintended, can accumulate to undermine patient well-being and contribute to healthcare disparities. They are the unnoticed comments, gestures, or attitudes that carry significant impact. Through a systematic analysis of the literature, we highlight the insidious nature of racial microaggressions and their impact on healthcare outcomes. The objectives of this paper are to: • Present real-life instances from research to showcase the tangible effects of racial microaggressions. • Identify the everyday scenarios within healthcare interactions where racial microaggressions often occur. • Emphasise the need for recognition and understanding of these biases for fostering better patient-provider relationships. Also, by analysing the fundamental elements underpinning racial microaggressions such as systems, interactions, vulnerabilities and consequences, we explore the implications it has on healthcare policy and management. Most importantly, we address the importance of identifying and tackling racial microaggressions in order to create a more inclusive healthcare environment.

摘要

种族微侵犯是一些微妙的日常行为,这些行为传达了基于个人种族的贬损性信息或假设。这些看似微不足道的行为,往往是无意的,可能会累积起来损害患者的福祉,并导致医疗保健方面的差异。它们是那些未被注意到的评论、手势或态度,却有着重大影响。通过对文献的系统分析,我们突出了种族微侵犯的隐蔽本质及其对医疗结果的影响。本文的目的是:• 呈现研究中的真实案例,以展示种族微侵犯的实际影响。• 识别医疗互动中经常出现种族微侵犯的日常场景。• 强调认识和理解这些偏见对于建立更好的医患关系的必要性。此外,通过分析构成种族微侵犯的基本要素,如系统、互动、脆弱性和后果,我们探讨了其对医疗政策和管理的影响。最重要的是,我们阐述了识别和应对种族微侵犯以创造更具包容性的医疗环境的重要性。

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