探索美国印第安人/阿拉斯加原住民重症监护不平等的历史背景：叙事回顾。

IF 2.5 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2024-11-01 DOI:10.1016/j.pedhc.2024.08.009

Joseph Burns MD, Daniel J. Penny MD, PhD, Alessandra C. Angelino MD, MPH, Yuen Lie Tjoeng MD, MS, Jason F. Deen MD

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引用次数: 0

摘要

导言：这篇叙述性综述旨在勾勒美国印第安人/阿拉斯加原住民（AI/AN）儿科重症监护的历史背景，并就如何减轻独特的社会驱动因素的影响提出建议：对近期文献进行了调查，以确定描述美国印第安人/阿拉斯加原住民儿童重症监护结果的相关研究，并在叙述性综述中进行了总结：结果：美国印第安人/阿拉斯加原住民由于独特的健康社会驱动因素，包括定居殖民主义、历史创伤和系统性种族主义，在健康方面遭受了极大的不公平。这些因素造成了儿科重症监护经历的不平等，包括因受伤和传染病入院的比率以及因受伤和心脏手术后的死亡率：这些不公平现象研究不足，需要进行专门评估。医疗机构和医疗服务提供者有责任开展教育、树立典型、提供符合文化要求的护理，并致力于实现劳动力公平，以改善接受重症监护的阿拉斯加原住民儿童的治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Exploring the Historical Context of American Indian/Alaska Native Intensive Care Inequities: A Narrative Review

Introduction

This narrative review aims to frame the historical context of American Indian/Alaska Native (AI/AN) pediatric intensive care and offers suggestions for mitigating the impact of unique social drivers.

Methods

Recent literature was surveyed to determine pertinent studies describing intensive care outcomes in AI/AN children and was summarized in a narrative review.

Results

American Indian/Alaska Native people experience disproportionate health inequites due to unique social drivers of health, including settler colonialism, historical trauma, and systemic racism. These factors contribute to inequities in the pediatric intensive care experience, including rates of admission for injury and infectious diseases and mortality due to injuries and following cardiac surgery.

Discussion

These inequities are understudied and require dedicated evaluation. Institutions and providers are responsible for educating, modeling, and providing culturally competent care and aiming to achieve workforce equity to improve outcomes for AI/AN children receiving intensive care.

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.