In the context of health care, intersectionality refers to a framework that focuses on the ways in which multiple axes of social inequality intersect and compound at the macro and micro levels to produce a broad range of unequal health outcomes. With the aid of tools such as the wheel of power and privilege, this framework can help identify systemic biases hidden in plain sight in the routine diagnostic, therapeutic, and prognostic paradigms used in clinical practice. Hematopoietic stem cell transplantation is a high-cost, highly specialized complex procedure that exemplifies the impact of intersectional identities and systemic biases in health care systems, clinical research, and clinical practice. Examples include the derivation of clinical algorithms for prognosis and risk assessments from data with limited representation of diverse populations in our communities. Transplant clinicians and teams are uniquely positioned to appreciate the concept of intersectionality and to apply it in clinical practice to redress inequities in outcomes in patients with marginalizing social determinants of health. An intersectional approach is the most efficient way to deliver effective and compassionate care for all.

中文翻译：

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我如何处理造血干细胞移植中的交叉性


在医疗保健的背景下，交叉性是指一个框架，该框架侧重于社会不平等的多个轴线在宏观和微观层面相交和复合以产生广泛的不平等健康结果的方式。借助权力和特权之轮等工具，该框架可以帮助识别临床实践中使用的常规诊断、治疗和预后范式中隐藏在众目睽睽之下的系统性偏见。造血干细胞移植是一种高成本、高度专业化的复杂手术，体现了交叉身份和系统性偏见对医疗保健系统、临床研究和临床实践的影响。示例包括从我们社区中不同人群代表性有限的数据中推导出用于预后的临床算法和风险评估。移植临床医生和团队具有得天独厚的优势，可以欣赏交叉性的概念并将其应用于临床实践，以纠正边缘化健康社会决定因素患者的结果不平等。交叉方法是为所有人提供有效和富有同情心的护理的最有效方式。