Khawvel hriat hlawh tennis star Serena Williams chanchin hi i hre tawh mai thei. Kum 2017-a a fanu a hrin hnuah a nun chu line-ah a awm ta a ni. Serena hian a lungah thisen zam a nei tawh a. Nau a pai hnua thawk harsatna a neih chuan nurse hnenah CT scan leh thisen tihthianghlimna hman nghal a ngai tih a hrilh a. Mahse nurse chuan natna tidamtu damdawi avang chuan a rilru a buai hle niin a ngai. Mahse Serena chuan a zawt zel a. A tawpah chuan CT scan hmangin a lungah thisen zam tam tak a awm tih hmuhchhuah a ni. Serena chuan a nunna chu doctor-te'n an chhanhim niin a sawi a, mahse he thil thleng hian khawtlang tan thil lian tak a pholang niin a sawi. Chu chu hnam thenkhat hmeichhiate’n nau an pai laiin an hmachhawn tur hlauhawmna sang zawk tihna a ni.
Hei hi a chhan chu a buaithlak hle. Khawtlang nun inthlauhna avang hian hnam thenkhat atanga hmeichhiate chu hriselna lama harsatna hrang hrang neiin naupaiah an lut thin. Healthcare lamah pawh inthliarna an tawk fo bawk. Zirchianna atanga a lan dan chuan doctor thenkhat chuan mipa hring damlote nen hun an hmang tlem zawk a, mipa hring damlote nen hian hun an hmang tlem zawk a ni. An thusawi chu an ngaithla lo emaw, an natna lan chhuah dante chu an ngai pawimawh lo emaw pawh a ni thei. Hei hi nau neihnaah chauh a ni lo. Report-te chuan hnam tlem zawkte enkawlna quality chu kawng tam takah a hniam thei tih a tarlang a, chu chu zunthlum, thinlung natna, leh cancer enkawlna te hi a ni.
He institutional racism hi eng nge ni?
A awlsam zawngin sawi ila, chi inthliarna hi hnam hrang hrangte inthlauhna siamtu leh vawng rengtu system a ni. Hei hi level hrang hrangah a thleng thei. Institutional racism chu institution chhunga inthliarna a awm a, chu chu health care system ang chi hi a ni.
Ngaihtuah teh, doctor, nurse leh healthcare worker dangte hi mi ngaihsak tak leh ngaihtuahna fim tak an ni tlangpui. Mahse he society-a cheng mi an ni bawk. Chuvangin an buai chuan, pressure a san chuan an lo seilian tawhna stereotype te chu a lo chhuak thei a ni. Hei hi `` implicit bias'' an ti a. Hei hi hre reng chunga an tih a ni lo.
Entîr nân, doctor chuan damlo pakhatin an damdawi a ei ṭha lo niin a ngai mai thei a, chuvângin, enkawlna dang a rawt thei a ni. Zirna pakhatah chuan mipa hring damlote chu "uncooperative" anga ngai doctor-te chuan heart attack symptoms nei mah se, heart attack enkawlna atan an refer tam lo hle.
Doctor zawng zawng hi hetiang hian an awm tihna a ni lo. Mahse, heng system pumpuiah hian hriat loha hnathawk thei tendencies te hi kan hriat vek a pawimawh hle.
Hei hian damdawi lam zirna a nghawng dan
Heng khawtlang nunphung (social biases) avang hian doctor thenkhat chu ngaihdan thenkhat nen medical school-ah an lut thin. Survey pakhatah chuan mipa hring medical zirlai zinga a chanve chuan mipa hring chungchanga thu dik lo an ring tih hmuhchhuah a ni. Entirnan, an vun chu a thim zawk emaw, an nerve tawp lam a sensitive lo zawk emaw niin an ngai a.
Mithiamte chuan he bias hi healthcare system pumpuiah tihchak a nih thu an sawi a, medical school leh nursing school-te pawh a tel. Curriculum chhung ngeiah pawh a innghat tlat a ni. He bias hi medical textbook-ah pawh symptoms thlalak awmnaah pawh hmuh theih a ni.
Zirna pakhatah chuan damdawi lam lehkhabu tam takah chuan vun dum nei mite natna lan chhuah dan chu a tlem hle tih a hmuchhuak. Cancer chi paruk zingah chuan vun dum nei te natna lan chhuahna thlalak pakhat mah a awm lo. Hei vang hian vun dum nei te hi vun cancer vangin an thi tam zawk mai thei . Natna hi hriat theih nan hun rei zawk a daih avangin, a hriat chhuah hunah chuan a zual zawk mai thei.
Chu bâkah, hnam leh hnam chu khawtlâng leh politics thila thil thleng ni lovin, thlahtute emaw, nungchate emaw aṭanga lo chhuak a ni tih ngaih dânah damdawi lam zirtîr a la ni reng a ni. Tûn laiah pawh hian doctor-te’n enkawlna an pêkna hmanrua leh formula ṭhenkhatah chuan hnam (race) te pawh a tel a ni. A rah chhuah tum loh tak a nih avangin damlo thenkhat chuan damdawi thenkhat, taksa peng dang thlak te, leh specialist hnena referral te an dawng tlem thei hle.
Mi tlem zawkte enkawlna pek hi tihtlem theih a ni ang em?
He healthcare lama institutional racism hian hnam tlem zawkte enkawlna tlakchhamna a thlen thei a ni. Hei hi damdawi lam kawng zawng zawngah hmuh theih ni mah se, zirchianna chuan heng kawngah hian a bik takin a ngaihtuah a ni.
| A nghawngna hmun | Thil thleng thei entirnan |
|---|---|
| Natna enkawl dan tur | Doctor-te hian hnam tlem zawkte hnenah painkiller an pe tlem hle. Emergency department (ETU)-a zirchianna pakhatah chuan mipa hring damlote chuan natna khirh tak damdawi an dawng tlem zawk tih hmuhchhuah a ni a, Hispanic damlote chuan natna khirh tak damdawi an dawng tlem zawk tih hmuhchhuah a ni bawk. |
| Nau neih | United States-a hmeichhe dum, Native American leh Alaska Native hmeichhiate chu naupai vanga thi an ni a, hmeichhe var aiin a let hnih atanga a let thum velin an thi a ni. |
| Nau piang thar enkawl | Zirchianna pakhatah chuan mipa hring nau piang tharte chu mipa hring doctor enkawl aiin an dam rei zawk tih a tarlang. Ṭhenkhat chuan hei hi doctor leh damlo inbiakpawhna inang lo vang niin an ngai a, mahse he zirchianna hian chu aia thuk zawka buaina chu a kal tih a tilang. |
Hemi chungchang buaipui mek pawl pakhat chu All of Us research program hi a ni. An programme-a tel zinga 80% aia tam chu damdawi lam zirchianna lama an tel lohna khawtlang atanga lo kal an ni. 50% aia tam chu hnam leh chi hrang hrang atanga lo piang an ni. Beiseina chu hetiang programme hian mi zawng zawng tana hriselna enkawlna intluktlanna, mi zawng zawng huapzo siamna atana mamawh data leh insights a siam chhuak ang.
He harsatna hi America emaw ram dangah emaw chauh a awm lo. Khawtlang eng pawhah hian chutiang hriat loha inthliarna chu a lo awm thei a ni. A pawimawh ber chu damlo kan nihna anga kan dikna chanvo leh healthcare worker anga kan mawhphurhnate kan hriat chian vek hi a ni.
Take-Home Thuchah a ni
- Doctor nena inbiak hian i natna lan chhuah dan leh i rilru put hmang chiang tak leh kim taka sawi chu hlau suh. Thil i hriat chian loh chuan zawhna zawt rawh.
- I enkawlna emaw, i natna hmuhchhuah dan emaw chungchangah ngaihtuahna i neih chuan ngaihdan pahnihna lak theihna i nei a ni. Chumi chungchang chu i doctor nen sawiho rawh.
- Healthcare system-ah hian hriat loha bias a awm thei tih hrethiam rawh. Hriatthiamna dik tawk lo nia i hriat chuan i dinhmun hi sawi nawn leh la.
- Mi tin hian hnam, sakhua, vun rawng, khawtlang dinhmun thliar lovin, hriselna enkawlna intluktlang, quality sang tak dawng turin dikna kan nei a ni.
- Mahni hriselna kawngah pawh active participant ni rawh. I dinhmun leh i enkawl dan tur chu a theih ang anga hriattir rawh.
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