Seeking justice, equity, diversity and inclusion in pediatric nephrology.
Seeking justice, equity, diversity and inclusion in pediatric nephrology.
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寻求儿科肾脏中的正义，公平，多样性和包容性。
DOI：
10.3389/fped.2022.1084848
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发表时间：
2022
影响因子：
2.6
通讯作者：
中科院分区：
文献类型：
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作者：
不平等、种族主义和医疗保健差异对肾病儿童的福祉产生负面影响。这篇综述定义了健康的社会决定因素，并描述了它们如何影响儿科肾脏病护理;概述了系统性偏见和种族主义对慢性肾脏病护理和移植结果的具体影响;描述并批评了目前儿科肾脏病工作人员的多样性;旨在提供策略来承认和消除偏见，解决护理障碍，提高招聘的多样性，加强儿科肾病学社区。通过认识到历史和当前的现实和局限性，我们可以向前迈进的战略，以解决我们的领域和临床实践中的种族主义和偏见，从而培养包容性的培训和实践环境。
Inequity, racism, and health care disparities negatively impact the well-being of children with kidney disease. This review defines social determinants of health and describes how they impact pediatric nephrology care; outlines the specific impact of systemic biases and racism on chronic kidney disease care and transplant outcomes; characterizes and critiques the diversity of the current pediatric nephrology workforce; and aims to provide strategies to acknowledge and dismantle bias, address barriers to care, improve diversity in recruitment, and strengthen the pediatric nephrology community. By recognizing historical and current realities and limitations, we can move forward with strategies to address racism and bias in our field and clinical practices, thereby cultivating inclusive training and practice environments.