在学生开办的免费诊所实施基于证据的健康公平课程以减少内隐偏见

K. Gururangan, Charisma Hooda, L. Osterberg
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引用次数: 0

摘要

医疗保健提供者™ 隐性偏见会对患者护理质量产生负面影响。提高偏见意识的教育是减轻这种负面影响的第一步。隐性偏见教育与学生开办的免费诊所的志愿者特别相关,在那里,患者往往属于服务不足的人群,他们最容易受到提供者的伤害™ 隐性偏见。以前没有任何研究报告过在这种情况下对内隐偏见课程的开发和评估。我们在一家学生经营的免费诊所为本科生志愿者开发了一个基于证据的健康公平课程,并报告了一项试点研究的初步结果。学生们认为该培训计划内容丰富,与临床实践相关,他们的定性反馈按主题组织。我们的数据表明,志愿者在参加这种内隐偏见培训后,移情能力有所增强,尽管内隐偏见没有显著变化。有必要对教育干预措施进行进一步研究,以改变无意识偏见和提供者移情,从而提高这些干预措施的疗效及其对患者护理的益处。
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Implementation of an Evidence-Based Health Equity Curriculum for Reducing Implicit Bias at a Student-Run Free Clinic
Healthcare providers’ implicit biases negatively impact the quality of patient care. Education to promote bias awareness is the first step to mitigating this negative effect. Implicit bias education is particularly relevant to volunteers at student-run free clinics, where patients often belong to underserved populations who are most vulnerable to providers’ implicit bias. No prior studies have reported the development and evaluation of an implicit bias curriculum in this setting. We developed an evidence-based health equity curriculum for undergraduate student volunteers at a student-run free clinic and report preliminary results of a pilot study. The training program was regarded as highly informative and relevant to clinical practice by students, and their qualitative feedback was organized thematically. Our data suggest that volunteers experienced increases in empathy after participating in this implicit bias training, despite not demonstrating a significant change in implicit biases. Further study of educational interventions to modify unconscious bias and provider empathy is warranted to augment the efficacy of these interventions and their benefit to patient care.
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