一般医生在为来自不同文化和语言背景的妇女提供早期医疗堕胎服务方面的经验:一种定性描述性研究
Rhea Singh1, Danielle Mazza2, Lauren Moloney3
1MD, BMedSc (Hons), Department of General Practice, Monash University, Melbourne, Vic.
Australian journal of general practice
|August 2, 2023
概括
一般医生面临沟通和文化能力的挑战,为文化和语言多样性 (CALD) 妇女提供早期医疗堕胎 (EMA). 改善全科医生培训和资源可以改善这些人群的护理服务.
科学领域:
- 医疗堕胎护理 医疗堕胎护理
- 在医疗保健中的文化能力.
- 一般实践 一般实践
背景情况:
- 一般医生 (GPs) 能够提供早期医疗堕胎 (EMA).
- 对于医生为来自文化和语言多样性 (CALD) 背景的女性提供EMA的了解有限.
研究的目的:
- 探索GP提供EMA给CALD女性的经验.
- 确定改善EMA对CALD女性服务的建议.
主要方法:
- 使用电话采访进行定性研究.
- 18名澳大利亚全科医生为CALD妇女提供EMA.
- 能力,机会和动机行为 (COMB) 模型指导了主题分析.
主要成果:
- 一般医生遇到沟通和文化能力障碍.
- 挑战源于培训不足,缺乏多语言资源,以及口译人员访问问题.
- 围绕堕胎和生殖胁迫的耻辱感涉及复杂的患者参与.
结论:
- 加强全科医生在文化上有能力的护理方面的培训至关重要.
- 建议改善对多语言资源和口译服务的访问.
- 优化对CALD妇女的EMA交付需要解决系统性障碍.
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