临床文献中的一个首要主题表明，医疗保健系统内有色人种之间存在固有的不信任，以及医疗保健专业人员弥合这一护理差距的重要性。由于对提供者、诊断工具和治疗的不信任，在服务不足的人群中解决癌症护理问题时尤其如此。卵巢癌在所有人群中都很难早期诊断；然而，对医学界本质上不信任的有色人种女性会推迟或拒绝可能大有裨益的筛查或治疗。同样，尽管有色人种女性的乳腺癌发病率很高，但由于个人和社区内的医疗保健经历不佳，许多人不愿意利用基因筛查或咨询服务。此外，跨性别患者处于独特的劣势，因为他们在获得文化上合格的护理方面面临障碍，同时患癌症的风险也更高。本研究的目的是对文献进行范围审查，以综合了解医疗服务提供者与患有乳腺癌和卵巢癌的种族、民族和性别少数群体之间的不信任气氛。医护人员必须承认医疗不信任，努力减少内在偏见，增加对患者的服务，并确保患者在就诊期间感到被倾听、受到尊重和得到良好照顾。改善医生的护理可以增强服务不足的社区和医护人员之间的信任，鼓励所有人积极寻求适当的医疗护理和癌症筛查，从而可能降低死亡率和发病率。版权所有 © 2024，Antony 等人。

An overarching theme in clinical literature suggests an inherent mistrust among populations of color within the healthcare system and the importance of healthcare professionals to bridge this gap in care. This is especially true when addressing cancer care in underserved populations due to mistrust in providers, diagnostic tools, and treatments. Ovarian cancer is difficult to diagnose early in all populations; however, women of color who have an intrinsic mistrust of the medical community will delay or refuse screenings or treatments that could be greatly beneficial. Similarly, although breast cancer rates are high in women of color, many are reluctant to utilize genetic screenings or counseling services due to bad experiences with healthcare, both personally and within their community. Moreover, transgender patients are at a unique disadvantage, as they face barriers to accessing culturally competent care while also being at a higher risk for developing cancer. The objective of this study was to conduct a scoping review of the literature in order to synthesize knowledge about the climate of mistrust between medical providers and racial, ethnic, and gender minorities with breast cancer and ovarian cancer. It is imperative for healthcare workers to acknowledge medical mistrust and strive to reduce internalized bias, increase their availability to patients, and ensure patients feel heard, respected, and well cared for during visits. Improving care by physicians can enhance trust between underserved communities and healthcare workers, encouraging all people to actively seek proper medical care and cancer screening, potentially resulting in a reduction of mortality and morbidity rates.Copyright © 2024, Antony et al.