保健医療を求める決定に影響を与える要因についての青少年の認識
K R Ginsburg1, G B Slap, A Cnaan
1Craig-Dalsimer Program in Adolescent Medicine, Department of Medicine, University of Pennsylvania, School of Medicine, Philadelphia, USA.
JAMA
|June 28, 1995
まとめ
十代の若者は,医療を選ぶ際には,提供者の衛生,誠実さ,敬意を優先します. ティーンエイジャーの介護を求める決定に影響を与える重要な要因には,感染制御と提供者の能力が含まれ,清潔さとスキルを強調します.
科学分野:
- 青少年の健康について
- 医療の質 医療の質とは
- 患者体験は患者さんの体験です.
背景:
- 青少年におけるヘルスケアを求める行動を理解することは,アクセスと結果を改善するために不可欠です.
- 以前の研究では,主に大人の視点に焦点を当て,未成年者のユニークな優先順位を潜在的に見落としていた.
研究 の 目的:
- 十代の若者の視点から,十代の若者のケアを求める決断に影響を及ぼす医療機関や施設の特徴を特定する.
- 医療提供者および政策立案者に対し,医療サービスへの青少年の関与を強化する変更可能な要因について情報を提供すること.
主な方法:
- フォーカスグループと名義的なグループテクニックを用いて10ヶ月間にわたって実施された多段階の研究で,学生の回答を集めました.
- 特定された特徴の重要性を評価するために3つの調査と,それらを介護を求める決定と関連付けるために1つの最終調査を使用しました.
- この研究では,フィラデルフィア学区の9年生6821人が参加しました.
主要な成果:
- 10代の若者は,提供者の手洗い,清潔な器具,誠実さ,敬意,清潔さ,能力,機密性を非常に重要な要因として評価しました.
- 感染制御と医療従事者の能力は,介護を求める決定に影響を与える最も重要な潜在的要因として浮上した.
- これらの好みは,異なる性別,人種,または社会経済的な地位においてわずかな変動が観察されました.
結論:
- 清潔さと感染制御が最重要であり,トップ10の特徴のうち4つがこれらの側面に関連しています.
- 調査結果は,医療従事者および計画者にとって,青少年における医療利用を改善するための,実用的な洞察を提供します.
- 青少年によって特定される要因は,この人口集団のためのケアの質とアクセシビリティを高めるための直接的な経路を提供します.
関連する概念動画
Self-Evaluation: Self-Enhancement and Self-Verification
Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
Dimensions of Health and Illness
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
Ethical Dilemmas I
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Erikson's Theory on Socioemotional Development during Adolescence
Erik Erikson's fifth stage of psychosocial development, "identity versus role confusion," is crucial during adolescence (ages 12 to 18). In this stage, adolescents face the developmental task of forging a distinct personal identity, a process influenced by social, psychological, and biological changes typical of this period. Adolescents naturally explore different roles, behaviors, and ideologies as they navigate complex questions of self-concept, asking, "Who am I?" and "What is my place in...
Ethnic Identity within a Larger Culture
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
Influence of Parents and Peers on Identity
Adolescence is a pivotal period of identity formation, during which individuals begin to answer questions central to their sense of self, such as "Who am I?" and "Who do I hope to become?" Both parents and peers play critical roles in guiding adolescents through this complex developmental phase.
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth. This guiding role...
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth. This guiding role...


