Diversity, Disparities, and the Allergy Immunology Pipeline.

Diversity, Disparities, and the Allergy Immunology Pipeline.
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DOI:
10.1016/j.jaip.2021.12.029
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发表时间:
2022-04
影响因子:
9.4
通讯作者:
Davis, Carla M.
Davis, Carla M.
中科院分区:
医学1区
文献类型:
--
作者:
Carter, Melody C.;Saini, Sarbjit S.;Davis, Carla M.

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在代表性不足的种族和少数民族群体中,健康结果的差异在过敏性/免疫性疾病中是明显的,并且在哮喘中得到了最完整的描述。在过去的二十年里,这些差距并没有得到任何实质性的改善,代表性不足的少数群体在几个质量指标上得到的照顾更差。增加医生劳动力的多样性是改善医疗服务和解决健康差距问题的一项战略,因为URM医生更经常选择在临床环境中工作,并进行有益于服务不足社区的研究。应促进执业过敏症专家和免疫学家的渠道,以确保在不断增长的URM人群中有足够的患者提供者。需要对我们专业的活跃劳动力和学员进行明确的数据测量。与历史上的少数民族机构进行外联,以提高对过敏/免疫学领域的认识,与学生医学协会建立伙伴关系,并增加国家激励措施,为那些从URM背景从事人工智能职业的人提供研究或贷款减免,这些也至关重要。支持URM医学院教师的保留和发展将增加该专业对潜在学员的知名度。有意识的策略将是重要的,以确保我们的专业可以满足不同患者群体的需求。
Disparities in health outcomes in underrepresented racial and ethnic minority groups are evident in allergic/immunologic diseases, and has been most completely described in asthma. The last two decades have not led to any substantive improvement in these disparities, with underrepresented minorities (URMs) receiving worse care in several quality measures. Increasing physician workforce diversity is one strategy to improve access to care and address the health disparity problem because URM physicians more often choose to both work in clinical settings and pursue research that benefits underserved communities. The pipeline for practicing allergists and immunologists should be facilitated to ensure there are enough providers for patients in the growing URM populations. Having clear data measures of the active workforce and trainees in our specialty is required. Outreach to historically minority institutions to raise awareness of the field of allergy/immunology, forging partnerships with student medical associations and increasing national incentives to fund research or loan forgiveness for those who undertake careers in AI from URM backgrounds are also critical. Supporting the retention and advancement of URM medical school faculty will increase the visibility of the specialty to potential trainees. Intentional strategies will be important to ensure our specialty can meet the demand of a diverse patient population.
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