全球卫生中的患者和社区教育的文化考虑:莱索托的一个定性研究
John Kulesa1,2, Lexi Crawford2, Kathleen Ferrer1,2
1George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Community health equity research & policy
|September 19, 2023
概括
国际非政府组织 (NGO) 在全球卫生教育中面临文化障碍. 东道国的临床医生遇到权威感知,社区动态和领导者参与方面的挑战,影响患者护理.
科学领域:
- 全球健康 全球健康
- 健康差异 在健康上的差异
- 在医疗保健中的文化能力.
背景情况:
- 国际非政府组织 (NGO) 在全球卫生方面至关重要,他们雇佣当地临床医生为公众推广和患者护理.
- 东道国的临床医生在社区内提供医疗保健服务和教育方面发挥着至关重要的作用.
研究的目的:
- 确定影响社区和患者教育的文化障碍和促进者,由巴索托医生提供.
- 了解文化动态对莱索托医疗保健服务的影响.
主要方法:
- 采用了一种通用解释学研究设计.
- 16名巴索托人临床医生 (1名医生,1名营养学家,14名护士) 参加了13次深入采访.
- 数据分析采用了感应式和代式方法,由社会认知理论提供信息,确定了15个主题.
主要成果:
- 巴索托的临床医生被患者和社区视为权威人物.
- 家庭和社区权力结构影响弱势群体获得医疗保健.
- 将村领导人排除在规划过程之外,可能会导致社区教育倡议的拒绝.
结论:
- 临床医生和社区之间的文化一致性并不能消除教育障碍.
- 了解和解决社会文化动态对于全球卫生环境中有效的患者和社区教育至关重要.
- 与社区领袖的合作和考虑当地权力结构是成功的健康推广计划的关键.
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