Patients, Pride, and Prejudice: Exploring Black Ontarian Physicians' Experiences of Racism and Discrimination
Patients, Pride, and Prejudice: Exploring Black Ontarian Physicians' Experiences of Racism and Discrimination
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DOI：
10.1097/acm.0000000000003648
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发表时间：
2020-11-01
影响因子：
7.4
通讯作者：
Hanson, Mark D.
中科院分区：
文献类型：
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作者：
Mpalirwa, Joseph;Lofters, Aisha;Hanson, Mark D.
目的：在加拿大，黑人医生和受训者的种族主义经历没有得到很好的记录，这反映出在加拿大卫生保健领域，需要纠正与种族主义作斗争的知识差距。作者对加拿大安大略省的黑人医生和实习生进行了一项描述性研究。本研究的目的是报告参与者安大略省医生所经历的种族主义，以挑战加拿大医疗保健中种族主义罕见的说法。方法2018年3月和4月，通过安大略省黑人医生协会（BPAO）的列表服务，对自认为是黑人（非洲人/非裔加拿大人/非裔美国人/非裔加勒比人）的医生和培训生进行匿名在线调查。这项调查是仿照美国研究中的定性访谈指南进行的。采用滚雪球抽样，BPAO成员将调查转发给符合条件的同事（非BPAO成员），以最大限度地提高响应。分析调查数据并描述关键主题。结果调查对象共46人，最大应答率为38%。参与者报告了与黑人同事合作的积极经历，以及与黑人病人的紧密联系。负面歧视经历包括来自同事、上级和患者的差别待遇和种族主义。参与者报告说，种族是他们选择实习地点的主要因素，而不是职业选择。参与者还表示缺乏指导，并且强烈呼吁增加具有类似种族背景的导师的指导。结论：这项研究挑战了加拿大医疗保健中种族主义罕见的观念。未来系统地收集有关黑人医生和受训者种族主义经历的信息将是了解这些经历的普遍性和性质的关键。
PurposeBlack physicians' and trainees' experiences of racism are not well documented in Canada, reflecting a knowledge gap needing correction to combat racism in Canadian health care. The authors undertook a descriptive study of Black physicians and trainees in the Canadian province of Ontario. The goal of this study was to report upon racism experienced by participant Ontarian physicians to challenge the purported rarity of racism in Canadian health care.MethodAn anonymous online survey of physicians and trainees who self-identify as Black (African/Afro-Canadian/African American/Afro-Caribbean) was administered in March and April 2018 through the Black Physicians' Association of Ontario (BPAO) listserv. The survey was modeled on qualitative interview guides from American studies. Snowball sampling was employed whereby BPAO members forwarded the survey to eligible colleagues (non-BPAO members) to maximize responses. Survey data were analyzed and key themes described.ResultsSurvey participants totalled 46, with a maximal response rate of 38%. Participants reported positive experiences of collegiality with Black colleagues and strong bonds with Black patients. Negative discrimination experiences included differential treatment and racism from peers, superiors, and patients. Participants reported race as a major factor in their selection of practice location, more so than selection of career. Participants also expressed a lack of mentorship, and there was a strong call for increased mentorship from mentors with similar ethno-racial backgrounds.ConclusionsThis study challenges the notion that racism within Canadian health care is rare. Future systematic collection of information regarding Black physicians' and trainees' experiences of racism will be key in appreciating the prevalence and nature of these experiences.