Disparities, Culture and Health: An E-Learning Course

描述（由申请人提供）：此二期SBIR拨款将完成医疗保健差异：患者和提供者的开发和评估，这是一门针对医生和培训医生的电子学习课程。第一阶段模块，医疗差异，提供了证据和差异的原因指导，并检查种族在医疗保健的变化意义。在第二阶段，种族IAT（内隐联想测试），随后的汇报将被纳入无意识偏见的第二个模块。课程的第三个模块将提供关于种族/民族角度的医疗保健数据，并将包括改善与医疗保健差异有关的医患关系各方面的技能指导。将开发医疗保健差异知识测试的第2版和虚拟患者评估，用于结果评估，并将纳入最终产品。完成课程的目标是提高对种族态度的自我意识，提高对种族/族裔差异的认识，提高医患沟通的技能，以消除由于医患关系造成的医疗保健差异。完成的电子学习课程将在住院医师的在线研究中进行评估，采用四组，前后随机设计，采用多种措施。研究措施将包括人口统计信息、第一阶段试点的修订知识测试、用于在虚拟患者评估中编码音频记录交互的Roter交互分析系统（RIAS）的分数、喜欢量表和课程的用户评估。完成的课程将作为全国消除医疗保健差距运动的资源，向医疗保健组织和专业协会以及医学院和住院医师培训项目进行营销。7. 公共卫生相关性：继医学研究所里程碑式的报告《不平等待遇》之后，基于医疗保健差异的性质和原因的证据继续增长，政策声明和项目指导方针被公布，但令人不安的是，大量医生仍然没有意识到他们实践领域的差异。医疗保健差异：患者和提供者电子学习课程的目标是通过提高对差异的认识，促进对提供者无意识偏见的反思，以及提高与种族/少数民族患者沟通和建立关系的技能，消除可能由于患者与提供者互动而产生的差异。该课程将成为到2010年消除保健方面的种族/族裔差异的多层次运动的一个资源。

DESCRIPTION (provided by applicant): This Phase II SBIR grant will complete the development and evaluation of Healthcare Disparities: Patients & Providers, an e-learning course for physicians and physicians in training. The Phase I module, Healthcare Disparities, provides instruction in the evidence and causes of disparities and examines the changing meaning of race in healthcare. In Phase II, the Race IAT (Implicit Associations Test) followed by a debriefing will be incorporated in a second module on unconscious biases. The third module of the course will provide data on racial/ethnic perspectives on healthcare and will include instruction in skills for improving dimensions of the patient-provider relationship that have been linked to healthcare disparities. Version 2 of the Healthcare Disparities Knowledge Test and a Virtual Patient Assessment will be developed for use in the outcome evaluation and will be included in the final product. The goals of the completed course are to increase self awareness of racial attitudes, improve knowledge of racial/ethnic disparities, and enhance skills for patient-provider communication in order to eliminate healthcare disparities that are attributable to the patient-provider relationship. The completed e-learning course will be evaluated in an online study with resident physicians using a four group, pre-post randomized design with multiple measures. Study measures will include demographic information, the revised knowledge test piloted in Phase I, scores on the Roter Interaction Analysis System (RIAS) used for coding audio recorded interactions in the Virtual Patient Assessment, a Liking Scale, and user evaluations of the course. The completed course will be marketed to healthcare organizations and professional associations as well as schools of medicine and residency training programs as a resource in the national campaign to eliminate healthcare disparities. 7. PUBLIC HEALTH RELEVANCE: Following the Institute of Medicine's landmark report Unequal Treatment, the evidence base on the nature and causes of healthcare disparities continues to grow, policy statements and program guidelines are published, and yet a large number of physicians remain disturbingly unaware of the disparities in their field of practice. The goal of the Healthcare Disparities: Patients & Providers e-learning course is to eliminate disparities that may be due to patient-provider interactions by improving knowledge about disparities, promoting reflection on providers' unconscious bias, and enhancing skills for communication and relationship building with racial/ethnic minority patients. The course will be one resource in the multilevel campaign to eliminate racial/ethnic disparities in healthcare by 2010.