PDF(Pubmed)
Abstract：
Healthcare discriminations based on one\'s ethnic background is increasingly being studied in medicine. The scale of the Covid-19 pandemic has played an important role in bringing them to light. Data, although scarce, exist in France. These discriminations have an impact on the care pathway and contribute to the renunciation of care by the most affected populations. The issue of discrimination is particularly relevant in infectious diseases. Although the epidemiology of infectious diseases is unevenly distributed worldwide, erroneous social representations are prevalent and expose to a harmful prejudice against migrants with regard to infectious diseases. The transmissible nature of some infectious diseases reinforces their stigmatizing potential. In this context, it seems important to discuss the dimension to be given to social determinants, geographical origin, phenotype, and ethnicity in teaching and medical reasoning. The English-speaking world uses the concept of \"race\" in a structural way, whereas this \"international standard\" has not been applied in France until now. To improve the care of people from minority groups, it seems important to better document and teach a more nuanced clinical reasoning based on origin, without neglecting the importance of collecting and taking into account social determinants of health and environmental factors.
摘要：
基于一个人的种族背景的医疗保健歧视越来越多地在医学中进行研究。新冠肺炎大流行的规模在揭示它们方面发挥了重要作用。数据,虽然稀缺，存在于法国。这些歧视会影响护理途径，并导致受影响最严重的人群放弃护理。歧视问题在传染病中尤其重要。尽管传染病的流行病学在世界范围内分布不均,错误的社会陈述普遍存在，并在传染病方面暴露了对移民的有害偏见。某些传染病的传染性增强了其污名化的潜力。在这种情况下，讨论社会决定因素的维度似乎很重要，地理起源,表型,以及教学和医学推理中的种族。英语世界以结构性的方式使用“种族”的概念，而这个“国际标准”直到现在还没有在法国应用。改善对少数民族的照顾,更好地记录和教授基于起源的更细致的临床推理似乎很重要，而不忽视收集和考虑健康和环境因素的社会决定因素的重要性。
