美国的穆斯林患者对皮肤病治疗的看法
Ghida El-Banna1, Shawheen Justin Rezaei1, Michelle Chang1
1Department of Dermatology, Stanford University School of Medicine, Redwood City, California.
JAMA dermatology
|November 15, 2023
概括
穆斯林患者报告在皮肤病治疗中没有满足宗教和文化需求,经历了偏见和污名化. 提高文化谦卑培训和劳动力多样性对于公平的皮肤病护理至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 文化能力 文化能力
- 健康 公平 卫生 公平
背景情况:
- 文化谦卑培训在医疗保健中越来越重要.
- 很少有人知道穆斯林患者在皮肤病诊所的具体宗教和文化需求.
研究的目的:
- 探索穆斯林患者关于皮肤病护理的看法和经验.
- 鉴定穆斯林个体在文化和宗教上敏感的皮肤病护理方面的障碍和促进因素.
主要方法:
- 使用调查和半结构面试进行的定性混合方法研究.
- 从加利福尼亚州一个大型学术医疗保健系统中的两个临床场所招聘.
- 包括2022年1月至2023年1月期间由皮肤科医生评估的成年,说英语的穆斯林患者.
主要成果:
- 穆斯林患者往往不优先考虑皮肤病治疗,并对一般教育感兴趣.
- 污名化,伊斯兰恐惧症和色彩主义的经历对患者与提供者关系产生了负面影响.
- 关键需求包括临床医生的性别一致性,在禁食期间调整药物服用时间,以及清真药物成分.
结论:
- 对穆斯林患者的皮肤病治疗需要加强文化谦卑培训,包括宗教需求.
- 建议包括增加劳动力多样性,改善药物标签,支持穆斯林亚群体的研究,以及社区教育伙伴关系.
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