Racialized women frequently excluded from developing medical guidance: study

Date:

Dr. Nav Persaud, lead author of the study and scientist at the MAP Center for Urban Health Solutions in Unity Health Toronto. Credit: Unity Health Toronto

A survey of all clinical practice guidelines published in general medical journals across Australia, Canada, the United Kingdom, and the United States over an eight-year period, including pandemic periods, found that most of the panel making recommendations was frequent with white men. Exclude women racialized in Canada.

This study, led by researchers at St. Michael’s Hospital in Unity Health Toronto, reviewed 237. Clinical practice guidelines Published between June 2014 and June 2021, including those related to COVID-19. A total of 3,696 unique guideline panel members were involved in the development of these guidelines. Only 7% of the panel members were racist women, with white men accounting for 46% of the members.

Survey results published in Lancet, Propose clinical guidelines that provide recommendations for Healthcare professional About diagnosis and treatment methods Medical condition Shape the care that the patient receives — it may not be developed by the most qualified person, which can adversely affect the patient.

“The panel can make recommendations on which drugs to use, who should be screened for cancer, and when surgery is appropriate,” said the lead author of the study, Unity Health’s Urban Health Solutions. Dr. Nav Persaud, a scientist at the MAP Center for, said. Toronto.

“It is important that the panel is made up of individuals who are in the best position to provide important guidance. We know that many important roles tend to be fulfilled by whites.” And also Family doctor At St. Michael’s Hospital in Unity Health Toronto.

The study also found that 79% of the guideline panels included four or more white men and nearly 40% did not include racist females.The findings are similar across the four international jurisdictions analyzed, with the most common categories of panel members being Caucasian male And the least common were racialized females.

The author calls for greater transparency in the panel recruitment process, and states that the creators of the guidelines need to ensure that panel members are recruited and maintained fairly or equitably. They also call on governments and other funders to demand a fair process. Twenty-eight percent of the guidelines declared that they did not mention the selection process or were formed without explaining how the panel was formed.

“This finding itself is the reason why we look at the guidelines in general with some skepticism. In particular, we need to question whether these guidelines make existing guidelines worse. health Inequality. ”


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For more information:
Racialized People in the Clinical Guidelines Panel: Cross-sectional Study, Lancet (2022). www.thelancet.com/journals/lan… (21) 02759-8 / fulltext

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