文章：

肝胆胰外科队伍中多样性、公平性与包容性的重要性

Importance of Diversity, Equity, and Inclusion in the Hepatopancreatobiliary Workforce

原文发布日期：11 January 2024

DOI: 10.3390/cancers16020326

类型: Article

开放获取: 是

英文摘要：

Diversity is a catalyst for progress that prevents institutional stagnation and, by extension, averts descent to mediocrity. This review focuses on the available data concerning hepatopancreatobiliary (HPB) surgical workforce demographics and identifies evidence-based strategies that may enhance justice, equity, diversity, and inclusion for HPB surgeons and their patients. We report that the current United States HPB surgical workforce does not reflect the population it serves. We review data describing disparity-perpetuating hurdles confronting physicians from minority groups underrepresented in medicine at each stage of training. We further examine evidence showing widespread racial and socioeconomic disparities in HPB surgical care and review the effects of workforce diversity and physician–patient demographic concordance on healthcare outcomes. Evidence-based mitigators of structural racism and segregation are reviewed, including tailored interventions that can address social determinants of health toward the achievement of true excellence in HPB surgical care. Lastly, select evidence-based data driving surgical workforce solutions are reviewed, including intentional compensation plans, mentorship, and sponsorship.

摘要翻译： 

多样性是推动进步的催化剂，它能防止体制僵化，进而避免陷入平庸。本综述聚焦于现有关于肝胆胰外科（HPB）医疗队伍人口统计的数据，并识别出可能提升HPB外科医生及其患者公正、公平、多样性与包容性的循证策略。我们报告指出，当前美国的HPB外科医疗队伍未能反映其所服务的人群特征。我们回顾了描述医学领域代表性不足的少数群体医生在培训各阶段所面临、并持续加剧不平等的障碍数据。我们进一步审视了显示HPB外科护理中存在广泛种族和社会经济差异的证据，并分析了医疗队伍多样性及医患人口统计学特征匹配对医疗结果的影响。文中综述了结构性种族主义和隔离的循证缓解措施，包括针对健康社会决定因素、旨在实现HPB外科护理真正卓越的定制化干预策略。最后，我们探讨了推动外科医疗队伍解决方案的部分循证数据，包括有意识的薪酬计划、导师指导及职业支持体系。

原文链接：

Importance of Diversity, Equity, and Inclusion in the Hepatopancreatobiliary Workforce