无障碍医学教育与TIC:增加对残疾患者的公平护理。

Harvard public health review (Cambridge, Mass.) Pub Date : 2021-01-01 Epub Date: 2022-01-30
Christina Jean Su, Peppar E P Cyr
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引用次数: 0

摘要

据估计,每4个美国成年人中就有1个有残疾,而且这个数字还在不断增加。残疾人面临严重的医疗不平等,包括但不限于无法获得和虐待。我们目前的医疗系统无法为这一人群提供公平的医疗服务。医疗保健环境缺乏无障碍环境,缺乏无障碍医疗培训,使残疾人能够成为为自己社区服务的医疗保健提供者,缺乏全面的医疗教育,包括对残疾患者的护理。此外,残疾人遭受创伤的风险增加,特别是医疗创伤的风险增加,使他们面临长期不利影响的更大风险。在这篇评论中,我们分析了三个关键领域:1)残疾患者的医疗保健现状,2)医学教育和医生队伍中的残疾,以及3)创伤与残疾之间的关系。我们认为,为残疾患者提供更公平的护理的道路涉及改变医学教育,解决所有这三个领域。医疗培训应使受研者在早期和整个培训过程中接触到残疾问题,应使残疾医生更容易获得支助,最后,应以明确包括照顾残疾病人及其其他交叉身份的方式了解创伤情况。
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Accessible Medical Education & TIC: Increasing Equitable Care for Disabled Patients.

An estimated 1 in 4 U.S. adults has a disability, and this number continues to increase. Disabled individuals face significant healthcare inequities, including but not limited to inaccessibility and mistreatment. Our current healthcare system is ill-equipped to provide equitable care to this population. There is a lack of accessibility in healthcare environments, lack of accessible medical training to enable disabled people to become healthcare providers serving their own community, and lack of thorough medical education that encompasses care for disabled patients. Furthermore, the increased risk of trauma, as well as increased risk of medical trauma specifically, endured by disabled people puts them at greater risk of long-lasting adverse effects. In this commentary, we analyze three key areas: 1) the current state of healthcare for disabled patients, 2) disability in medical education & physician workforce, and 3) the relationship between trauma and disability. We argue that the road to more equitable care for disabled patients involves changes to medical education that address all three of these areas. Medical training should expose trainees to disability early and throughout their training, should be made more accessible to support disabled physicians, and finally, should be trauma-informed in a manner that explicitly includes caring for disabled patients and their other intersecting identities.

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