了解黑人新斯科舍人与社区药剂师的经历
Afomia Gebre1, Susan Bowles1,2,3, Laura V Minard1
1Pharmacy Department, Nova Scotia Health-Central Zone, Halifax.
概括
黑人新斯科舍人经历了社区药剂师的歧视和缺乏文化能力,导致不信任和不安全感. 这凸显了对文化安全药房服务的需求.
科学领域:
- 健康 公平 卫生 公平
- 药房实践 在药房实践.
- 健康的社会决定因素
背景情况:
- 系统性种族主义和历史上的医疗虐待在黑人患者和医疗保健提供者之间造成不信任.
- 系统性种族主义对健康结果的影响是众所周知的,但其对药房实践的具体影响不太清楚.
- 医疗保健中的种族歧视有助于健康差异.
研究的目的:
- 探索黑人新斯科舍人与社区药剂师的经验.
- 了解如何在药房设置中表现出种族歧视.
- 识别文化安全药房服务的障碍.
主要方法:
- 使用焦点小组和一对一的采访进行定性研究.
- 参与者包括年龄在18岁以上的黑人新斯科舍人,有社区药房经验.
- 数据被录音,转录,并进行主题分析.
主要成果:
- 出现了三个主要主题:药店导航困难,缺乏包容性和文化能力,以及交易性药剂师关系.
- 参与者报告说,种族对接受的护理质量产生了负面影响.
- 大多数参与者在药店感到不安全或不舒服,并没有将药剂师视为其医疗保健团队的一部分.
结论:
- 药剂师在减少健康公平差距方面发挥着至关重要的作用.
- 药房教育必须包括文化能力培训.
- 调查结果将为提高新斯科舍黑人获得文化安全药房服务的战略提供信息.
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