一个尚未探索的公平因素:提供者种族对应急管理的不同信念和态度
Oladunni Oluwoye1, Douglas L Weeks2, Michael G McDonell2
1Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, 99202, USA. Oladunni.oluwoye@wsu.edu.
BMC health services research
|August 23, 2023
概括
西班牙裔物质使用障碍治疗提供者报告说,与非西班牙裔白人提供者相比,实施应急管理 (CM) 的障碍更大. 解决这些文化差异是有效的CM的关键., Enhanced_Abstract=default_api.SeocontentEnhancedAbstract(科学领域=[
科学领域:
- 药物成治疗和公共卫生
- 在行为健康服务中的健康公平.
- 在心理健康领域的实施科学.
背景情况:
- 应急管理 (CM) 是对物质使用障碍 (SUD) 的有效干预.
- 尽管SUD率上升,CM的广泛实施仍然有限.
- 已知影响CM采用的供应商级因素,包括信仰和培训需求,但尚未探索信仰的文化差异.
研究的目的:
- 根据他们的种族,检查SUD治疗提供者之间关于CM的信念的潜在差异.
- 确定文化背景影响的CM实施相关的具体障碍和培训需求.
主要方法:
- 对143名住院和门诊SUD治疗提供者的横截面调查.
- 应急管理信念问卷 (CMBQ) 评估了人们对CM的态度.
- 线性混合模型分析了种族 (西班牙裔与非西班牙裔白人) 对CMBQ子级分数的影响.
主要成果:
- 与非西班牙裔白人提供者相比,西班牙裔提供者报告说,与非西班牙裔白人提供者相比,CM的一般和培训相关障碍明显更高.
- 与工作量增加和对更多培训的渴望相关的具体项目得到了西班牙裔提供者的更多支持.
- 59%的受访者是非西班牙裔白人,41%是西班牙裔.
结论:
- 受到文化背景影响的提供者层面的股权相关因素可能会影响CM的采用和普及.
- 传播和实施CM的战略必须纳入文化敏感的方法.
- 解决供应商层面的差异对于公平和广泛的CM实施至关重要.
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