探索影响澳大利亚非土著黑人获得理疗服务的系统结构
Adelaide Rusinga1, Jenny Setchell1, Sarah Jang1
1The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia.
非土著黑人澳大利亚人将物理治疗视为"白人"的职业,由于文化和系统障碍,限制了获取. 加强多样性和文化安全对于公平获得医疗保健至关重要.
科学领域:
- 健康 公平 卫生 公平
- 医疗保健中的文化安全
- 物理治疗 访问 物理治疗 访问
背景情况:
- 在西方国家,物理治疗通常被视为白人主导的职业.
- 澳大利亚的多元化人口需要响应非白人澳大利亚人的需求的卫生系统.
- 了解非土著黑人澳大利亚人对物理治疗的看法对于改善治疗机会至关重要.
研究的目的:
- 探索非土著黑人澳大利亚人对物理治疗的看法和经验.
- 在这个人群中识别物理治疗获取障碍和促进者的障碍.
主要方法:
- 12名非土著黑人澳大利亚人参加了半结构化的深度访谈.
- 基于批判性种族理论的批判性话语分析被用来分析采访数据.
主要成果:
- 参与者报告了大多数积极的互动,但注意到社区对物理治疗的访问有限.
- 确定的主要话语是"理疗是白人解决方案"和"理疗师是白人".
- 系统性种族主义,低收入和语言障碍显著影响了对物理治疗的参与.
结论:
- 物理治疗话语中的西方化和"白色"影响了黑人澳大利亚人的看法和经验.
- 建议提高文化多样性,提供文化适当的材料,并在课程中实施批判性反射性.
- 招募多元化的员工和提供外展服务可以提高身体治疗对服务不足的人群的可访问性.
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