Pipeline Programs in the Health Professions, Part 1: Preserving Diversity and Reducing Health Disparities
Pipeline Programs in the Health Professions, Part 1: Preserving Diversity and Reducing Health Disparities
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卫生专业的管道计划，第 1 部分： 保持多样性和减少健康差异
DOI：
10.1016/s0027-9684(15)31030-0
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发表时间：
2009-09-01
影响因子：
3.3
通讯作者：
Pamies, Rubens J.
中科院分区：
文献类型：
--
作者：
Smith, Sonya G.;Nsiah-Kumi, Phyllis A.;Pamies, Rubens J.
背景：少数种族和族裔在卫生专业领域的代表性不足。平权行动和教育渠道计划在增加卫生专业的多样性、解决教育机会差距和缩小健康差距方面发挥着至关重要的作用。这个由两部分组成的系列的第一部分讨论了教育管道计划的必要性，以帮助代表性不足的少数群体 (URM) 进入卫生专业，以及这些计划在培养多元化提供者骨干队伍以减少医疗保健不平等方面的重要性。方法：第一部分概述了医疗和卫生保健劳动力的多样性、教育充实计划、成功管道计划的关键组成部分，以及内布拉斯加大学医学中心代表性不足的学生的著名管道示例。还包括改进和开发管道计划的建议。第 2 部分回顾了平权行动判例法和立法，以及根据最近的反平权行动挑战维持和审查多样性管道计划的建议。结论：管道计划是解决卫生专业中 URM 短缺问题的重要策略。反平权行动倡议威胁到这些学生准备计划的存在，也威胁到我们培养有色人种医生和其他医疗保健提供者的能力，他们更有可能在代表性不足的社区服务，并努力减少相关的健康差距。大学和学术医疗中心的项目必须与服务不足的社区建立创新的伙伴关系，采取表明对增加卫生专业中的种族和族裔少数群体的坚定承诺的战略，并制定可行的融资机制来支持多样性丰富项目。
Background: Racial and ethnic minorities are underrepresented in the health professions. Affirmative action and educational pipeline programs play a vital role in increasing the diversity of health professions, addressing educational opportunity gaps, and reducing health disparities. Part I of this 2-part series discusses the need for educational pipeline programs to assist underrepresented minorities (URMs) in entering the health professions and the importance of these programs in developing a cadre of diverse providers to reduce health care inequality.Methods: Part I presents an overview of diversity in the medical and health care workforce, educational enrichment programs, key components of successful pipeline programs, and notable pipeline examples for underrepresented students at the University of Nebraska Medical Center. Recommendations for improving and developing pipeline programs are also included. Part 2 reviews affirmative action case law and legislation along with recommendations for maintaining and reviewing diversity pipeline programs in light of recent anti-affirmative action challenges.Conclusion: Pipeline programs are an important strategy for addressing the shortage of URMs in the health professions. Anti-affirmative action initiatives threaten the existence of these student preparation programs and the ability of our notion to produce physicians of color and other health care providers who are more likely to serve in underrepresented communities and work to reduce related health disparities. Programs at universities and academic medical centers must develop innovative partnerships with underserved communities, adopt strategies that demonstrate a strong commitment to increasing racial and ethnic minorities in the health professions, and develop viable funding mechanisms to support diversity enrichment programs.