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交叉性、公平意识与医疗服务可及性

Intersectionality, equity-mindedness, and access to care.

作者信息

Nishi Naomi W, Watley Erin, Collier Mary Jane, Morales Gabriela I

机构信息

College of Veterinary Medicine and Biomedical Sciences, Department of Biomedical Sciences, Colorado State University, Fort Collins, CO, United States.

Department of Communication and Cinema, McDaniel College, Westminster, MD, United States.

出版信息

Front Vet Sci. 2025 Jul 24;12:1602950. doi: 10.3389/fvets.2025.1602950. eCollection 2025.

Abstract

The factors that contribute to an individual's and/or community's access to veterinary care for their animal(s) are manifold. While some (potential) clients must navigate barriers, including transportation options, time off during business hours, physical access, cost of care, and language barriers, there are also identity factors and experiences that affect access to veterinary care particularly for people whose identities are marginalized. These include clients experiencing distrust and/or disrespect in their interactions with veterinary professionals. We explore how intersectionality affects access to veterinary care, especially for those who are multiply marginalized by societal systems of oppression. We share research findings on the experiences of clients that identify as women of color and/or non-binary people of color that have had to navigate barriers to their access to veterinary care, including through broken trust and experienced disrespect. We then define and propose strategies for engaging intersectional equity-mindedness in clinical practice. We connect these concepts of intersectionality and equity-mindedness to their implications for access to care.

摘要

影响个人和/或社区为其动物获得兽医护理的因素是多方面的。虽然一些(潜在)客户必须克服各种障碍,包括交通选择、营业时间内的请假、实际可达性、护理费用和语言障碍,但也存在身份因素和经历会影响获得兽医护理的机会,特别是对于那些身份被边缘化的人。这些因素包括客户在与兽医专业人员互动时经历的不信任和/或不尊重。我们探讨交叉性如何影响获得兽医护理的机会,特别是对于那些被社会压迫制度多重边缘化的人。我们分享关于有色人种女性和/或有色非二元性别人士等客户经历的研究结果,他们在获得兽医护理时不得不克服各种障碍,包括信任破裂和遭受不尊重。然后,我们定义并提出在临床实践中引入交叉性公平意识的策略。我们将交叉性和公平意识的这些概念与其对获得护理的影响联系起来。

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Intersectionality, equity-mindedness, and access to care.交叉性、公平意识与医疗服务可及性
Front Vet Sci. 2025 Jul 24;12:1602950. doi: 10.3389/fvets.2025.1602950. eCollection 2025.

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