开发和测试一个定制的文化干预措施,以支持医疗保健专业人员与来自不同背景的患者合作
Ashwini Deshmukh1, Lisa Roberts2,3, Adewale Adebajo4
1Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Rheumatology (Oxford, England)
|July 28, 2023
概括
一项新的干预措施提高了医疗保健专业人员的文化能力和患者在风湿病学方面的能力,特别是对于南亚患者. 这项研究改善了对不同人群的风湿病治疗.
科学领域:
- 医学教育 医学教育
- 类风湿病学 类风湿病学
- 文化能力 文化能力
背景情况:
- 在风湿病治疗中,医疗保健的差异仍然存在,影响着不同的患者群体.
- 文化敏感的沟通对于有效的患者与提供者互动至关重要.
研究的目的:
- 为风湿病医疗保健专业人员 (HCP) 开发和评估一种文化敏感的干预措施.
- 提高文化能力和患者在风湿病学环境中的能力.
主要方法:
- 在四个NHS站点的15名医疗保健工作者中,采用了前后研究设计.
- 患者报告的结果包括医生文化能力 (PRPCC) 和患者授权仪器 (PEI).
- 医疗保健专业人员填写了COM-B问卷,以评估行为变化决定因素.
主要成果:
- 该干预措施显著改善了南亚患者的文化能力得分 (p=0.014).
- 患者启用得分显示,白人 (p<0.001) 和南亚患者 (p<0.001) 均有统计学上显著的改善.
- 干预后,医疗保健专家报告说,他们对咨询的信心和准备程度增加了.
结论:
- 这种新的干预措施有效地提高了文化能力和患者在风湿病学方面的能力.
- 这些发现支持将文化敏感培训纳入整合,以改善对不同患者群体的护理.
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