Stereotype Threat and Health Disparities: What Medical Educators and Future Physicians Need to Know

Stereotype Threat and Health Disparities: What Medical Educators and Future Physicians Need to Know
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DOI:
10.1007/s11606-009-1221-4
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发表时间:
2010-05-01
影响因子:
5.7
通讯作者:
van Ryn, Michelle
van Ryn, Michelle
中科院分区:
医学2区
文献类型:
--
作者:
Burgess, Diana J.;Warren, Jennifer;van Ryn, Michelle

文献摘要

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患者在临床环境和遭遇中的刻板印象威胁经历可能是医疗保健差异的一个因素。当环境中的线索使与个体群体地位相关的负面刻板印象突出时,就会产生刻板印象威胁,从而引发对行为产生有害后果的生理和心理过程。通过认识和了解可能引发刻板印象威胁的因素并了解其在医疗环境中的后果,提供者可以防止其发生或改善其对患者行为和结果的影响。在本文中,我们讨论了刻板印象威胁对医学教育和实习生绩效的影响,并为未来的提供者如何在他们的检查室和诊所中减少刻板印象威胁提供了切实可行的建议。
Patients' experience of stereotype threat in clinical settings and encounters may be one contributor to health care disparities. Stereotype threat occurs when cues in the environment make negative stereotypes associated with an individual's group status salient, triggering physiological and psychological processes that have detrimental consequences for behavior. By recognizing and understanding the factors that can trigger stereotype threat and understanding its consequences in medical settings, providers can prevent it from occurring or ameliorate its consequences for patient behavior and outcomes. In this paper, we discuss the implications of stereotype threat for medical education and trainee performance and offer practical suggestions for how future providers might reduce stereotype threat in their exam rooms and clinics.