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开发并实施一门专注于医疗保健公平性的敏感性培训课程。

Development and implementation of a sensitivity training curriculum focused on equity in healthcare.

作者信息

Chen Allen M

机构信息

Department of Radiation Oncology University of California, Irvine, Chao Family Comprehensive Cancer Center Orange California USA.

出版信息

Learn Health Syst. 2025 Mar 28;9(3):e70007. doi: 10.1002/lrh2.70007. eCollection 2025 Jul.

DOI:10.1002/lrh2.70007
PMID:40677599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12264372/
Abstract

PURPOSE

A longitudinal sensitivity-based curriculum focused on diversity, equity, and inclusion (DEI) and consisting of interactive seminars and roundtable discussions was constructed to equip participants with tools to enhance culturally effective care and to create an inclusive learning environment. The purpose of this study was to report our single-institutional experience with the development and implementation of this evidence-based curriculum.

METHODS AND MATERIALS

Core DEI themes on which to center the sensitivity training curriculum were identified through an evidence-based review based on the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) statement. A MEDLINE search was undertaken to identify original peer-reviewed works using the items "equity, diversity, inclusion," "underserved," "disadvantaged," "sensitivity training," and "curriculum."

RESULTS

Based on the search results, a 12-month curriculum was established centered on the core themes that emerged. The 98 peer-reviewed publications chosen to develop this thematic framework could be broadly categorized as follows: health disparities ( = 33); workplace diversity ( = 24); implicit bias ( = 21); and structural racism ( = 20). Between November 2022 and January 2024, a total of 12 interactive sessions were scheduled. The mean number of attendees for each DEI session was 19 (range: 3 to 32), and the mean length of each session was 50 min (range: 20 to 81).

CONCLUSION

The developed curriculum helped promote awareness of historical inequities in healthcare and empowered learners to become better advocates for colleagues and patients alike. The implication for healthcare leaders are discussed.

摘要

目的

构建了一个基于纵向敏感性的课程,该课程聚焦于多样性、公平性和包容性(DEI),由互动研讨会和圆桌讨论组成,旨在为参与者提供工具,以加强具有文化有效性的护理,并营造一个包容性的学习环境。本研究的目的是报告我们在开发和实施这一循证课程方面的单机构经验。

方法和材料

通过基于系统评价和Meta分析方案的首选报告项目(PRISMA-P)声明进行循证综述,确定了作为敏感性培训课程核心的DEI主题。进行了MEDLINE搜索,以使用“公平、多样性、包容性”“服务不足”“弱势群体”“敏感性培训”和“课程”等关键词识别经同行评审的原创作品。

结果

根据搜索结果,围绕出现的核心主题建立了一个为期12个月的课程。为制定这一主题框架而选择的98篇经同行评审的出版物可大致分为以下几类:健康差异(n = 33);工作场所多样性(n = 24);隐性偏见(n = 21);以及结构性种族主义(n = 20)。在2022年11月至2024年1月期间,共安排了12次互动课程。每次DEI课程的平均参会人数为19人(范围:3至32人),每次课程的平均时长为50分钟(范围:20至81分钟)。

结论

所开发的课程有助于提高对医疗保健领域历史不平等现象的认识,并使学习者有能力更好地为同事和患者代言。讨论了对医疗保健领导者的启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6a3/12264372/409030989ca9/LRH2-9-e70007-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6a3/12264372/9590f1827751/LRH2-9-e70007-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6a3/12264372/c8cd33224544/LRH2-9-e70007-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6a3/12264372/409030989ca9/LRH2-9-e70007-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6a3/12264372/9590f1827751/LRH2-9-e70007-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6a3/12264372/c8cd33224544/LRH2-9-e70007-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6a3/12264372/409030989ca9/LRH2-9-e70007-g002.jpg

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本文引用的文献

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How to Create a Diversity, Equity, and Inclusion Curriculum: More Than Checking a Box.如何创建多元化、公平性和包容性课程:不仅仅是勾选一个框。
Ann Fam Med. 2024 Mar-Apr;22(2):154-160. doi: 10.1370/afm.3078.
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Fairness for Whom? Learning Health Systems' Approach to Equity in Healthcare.为谁公平?学习健康系统在医疗保健中的公平方法。
Healthc Policy. 2023 Nov;19(2):15-20. doi: 10.12927/hcpol.2023.27237.
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Racial and Ethnic Inequities in US Oncology Clinical Trial Participation From 2017 to 2022.2017 年至 2022 年美国肿瘤学临床试验参与中的种族和民族不平等。
JAMA Netw Open. 2023 Jul 3;6(7):e2322515. doi: 10.1001/jamanetworkopen.2023.22515.
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Building an Antiracist Department Through an Experiential Department-Wide Antiracism Curriculum.通过全部门体验式反种族主义课程打造一个反种族主义部门。
Acad Pediatr. 2023 Nov-Dec;23(8):1505-1506. doi: 10.1016/j.acap.2023.06.001. Epub 2023 Jul 6.
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Twelve tips for developing active bystander intervention training for medical students.培养医学生积极旁观者干预培训的十二条建议。
Med Teach. 2023 Aug;45(8):822-829. doi: 10.1080/0142159X.2023.2207723. Epub 2023 May 19.
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Equity, Diversity, and Inclusion Are Essential in Medical Physics.公平、多元化和包容性在医学物理领域至关重要。
Int J Radiat Oncol Biol Phys. 2023 Jun 1;116(2):290-294. doi: 10.1016/j.ijrobp.2023.02.006.
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Educational Outcomes of Diversity Curricula in Graduate Medical Education.研究生医学教育中多样性课程的教育成果。
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Strategies to Counteract Impact of Harmful Bias in Selection of Medical Residents.应对医疗住院医师选拔中有害偏见影响的策略。
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Radiation Oncology Residency Training Program Integration of Diversity, Equity, and Inclusion: An Association of Residents in Radiation Oncology Equity and Inclusion Subcommittee Inaugural Program Director Survey.放射肿瘤学住院医师培训计划中的多样性、公平性和包容性整合:放射肿瘤学住院医师公平性和包容性小组委员会的一项首任项目主任调查。
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