语言一致的护理:一项质量研究,检查医生非英语语言能力评估的实施情况
Maria Esteli Garcia1,2,3, Mia Williams4, Sunita Mutha4,5
1Division of General Internal Medicine, Department of Medicine, Multiethnic Health Equity Research Center, University of California, 1701 Divisadero St. Room 536, San Francisco, CA, 94143-1731, USA. maria.garcia@ucsf.edu.
评估医生语言能力对于患者护理至关重要. 诸如失败恐惧和时间限制等障碍阻碍了参与,而激励和支持文化可以改善采用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
- 医学中的语言学.
背景情况:
- 语言一致性改善了患者的获取和健康结果.
- 医生非英语语言技能的系统评估在卫生系统中并不常见.
- 这种差距代表了优化语言一致护理的错失机会.
研究的目的:
- 确定影响初级保健医生参与非英语语言能力评估的障碍和促进因素.
主要方法:
- 使用半结构面试进行的定性研究.
- 参与者包括11名完全和部分双语初级保健医生.
- 使用主题分析与持续比较来编码面试成绩单.
主要成果:
- 障碍包括对负面测试后果的恐惧,时间限制和困难的测试格式.
- 促进者包括与专业价值观一致的信息传递,激励组织文化,个人赋权和冠军宣传.
- 医生的语言能力有所不同,完全双语的医生通过评估更一致.
结论:
- 卫生系统应该解决医生识别的障碍,并利用促进者来促进语言评估参与.
- 干预措施可以标准化流程,提高透明度,提供准备资源,并激励参与,以提高患者护理质量和安全.
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