Bias in Musculoskeletal Pain Management and Bias-Targeted Interventions to Improve Pain Outcomes: A Scoping Review.
Bias in Musculoskeletal Pain Management and Bias-Targeted Interventions to Improve Pain Outcomes: A Scoping Review.
复制标题
肌肉骨骼疼痛管理的偏见和针对偏见的干预措施，以改善疼痛结果：范围审查。
DOI：
10.1097/nor.0000000000000833
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发表时间：
2022-03-01
影响因子：
0.7
通讯作者：
Perry, Mallory A.
中科院分区：
文献类型：
--
作者：
Eze, Bright;Kumar, Sumanya;Yang, Yuxuan;Kilcoyne, Jason;Starkweather, Angela;Perry, Mallory A.
医疗保健中的偏见对护理、治疗和结果的差异产生了负面影响，特别是在少数民族人口中。对文献进行了范围审查，以更深入地了解偏倚如何影响肌肉骨骼疼痛，以及偏倚靶向干预对减少疼痛差异的潜在影响，并确定差距，为该领域的进一步研究提出建议。使用Pubmed/Medline、PsycInfo、CINAHL和Scopus数据库检索同行评审期刊的出版物，确定了18项研究。文献综述显示，基于临床医生的偏见和歧视通过减少获得治疗的机会和增加患者疼痛相关的不公正、灾难化、抑郁和感知压力来恶化疼痛和残疾。相比之下，临床医生教育和观点采择，患者决策工具和社区外展干预可以帮助减少肌肉骨骼疼痛结果的偏差和差异。增加卫生保健工作人员的多样性也应该是一个优先事项。关注健康公平的护理模式可以提供一个理想的框架，以减少偏见，并提供可持续的改善肌肉骨骼疼痛管理。
Bias in health care negatively impacts disparities in care, treatment, and outcomes, especially among minority populations. A scoping review of the literature was performed to provide a deeper understanding of how bias influences musculoskeletal pain and potential effects of bias-targeted interventions on reducing pain disparities, as well as identify gaps and make suggestions for further research in this area. Publications from peer-reviewed journals were searched using the databases, Pubmed/Medline, PsycInfo, CINAHL, and Scopus, with 18 studies identified. The literature review revealed that clinician-based bias and discrimination worsen pain and disability by reducing access to treatment and increasing patient pain-related injustice, catastrophizing, depression, and perceived stress. In contrast, clinician education and perspective-taking, patient decision-tools, and community outreach interventions can help to reduce bias and disparities in musculoskeletal pain outcomes. Increasing the diversity of the health care workforce should also be a priority. Models of care focused on health equity may provide an ideal framework to reduce bias and provide sustainable improvement in musculoskeletal pain management.
影响因子：
3.9
作者：
Jones LC;Watkins Y;Alva D
通讯作者：
Alva D
影响因子：
1.4
作者：
Griesemer, Ida;Hausmann, Leslie R. M.;Arbeeva, Liubov;Campbell, Lisa C.;Cene, Crystal W.;Coffman, Cynthia J.;Keefe, Francis J.;Oddone, Eugene Z.;Somers, Tamara J.;Allen, Kelli D.
通讯作者：
Allen, Kelli D.