Antiracist Documentation Practices - Shaping Clinical Encounters and Decision Making.

Antiracist Documentation Practices - Shaping Clinical Encounters and Decision Making.
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反种族主义记录实践 - 塑造临床遭遇和决策。

DOI:
10.1056/nejmms2303340
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发表时间:
2023
期刊:
The New England journal of medicine
影响因子:
--
通讯作者:
Isom,Jessica
Isom,Jessica
中科院分区:
--
文献类型:
--
作者:
Williams,JCorey;Andreou,Ashley;Castillo,EnricoG;Neff,Joshua;Goldenberg,Matthew;Lee,CourtneyR;Aysola,Jaya;Rohrbaugh,Robert;Isom,Jessica

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临床医生收到的关于如何在临床文件和决策中使用患者种族身份的指示不一致1,2,并且经常在没有明确原因或对其相关性的理解的情况下记录这些信息。种族类别的常规文件植根于种族群体之间固有的生物差异的神话,特别是黑人和非西班牙裔白色人之间。3、4这些建立在医学种族主义和白色至上主义意识形态基础上的神话被用来为历史暴行辩护,包括奴役非洲裔人,5并继续使美国医疗保健系统对黑人和其他种族少数群体患者的不同待遇正常化。4
Clinicians receive inconsistent instruction on how to use patients’ racial identities in clinical documentation and decision making1, 2 and often document this information without clear reasons or an understanding of its relevance. Routine documentation of racial categories is rooted in the mythology of inherent biologic differences between racial groups, especially between Black and non-Hispanic White people. 3, 4 Such myths, founded on medical racism and White supremacist ideology, have been used to justify historical atrocities, including enslavement of people of African descent, 5 and continue to normalize disparate treatment of Black and other racially minoritized patients by the US health care system. 4
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影响因子: --
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