归属,耐力和抵抗:初级保健中的黑人定位理论
Omar H Ordaz1, Raina L Croff2, LaTroy D Robinson1
1Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, OR, USA.
由于对生物医学机构的不信任,黑人患者面临健康差异. 了解归属,耐力和抵抗的主题是改善黑人美国人获得和遵守初级保健的关键.
科学领域:
- 健康差距 研究 研究 研究 研究
- 卫生社会学 卫生社会学
- 质量健康研究 质量健康研究
背景情况:
- 美国黑人经历了显著的健康差异.
- 对生物医学机构的不信任有助于增加疾病风险.
- 了解患者的观点对于公平的护理至关重要.
研究的目的:
- 确定为黑人患者提供优质初级保健的障碍.
- 探索遵守医疗建议所面临的挑战.
- 通过黑人定位理论的镜头来检查主题.
主要方法:
- 对29名黑人患者 (年龄在30-60岁) 进行了8个远程聚焦小组.
- 利用了基础理论和感应性主题分析.
- 分析成绩单以确定突出的主题.
主要成果:
- 确定了三个关键主题:归属,耐力和抵抗.
- 这些发现与黑人定位理论一致.
- 突出了影响健康的系统和人际障碍.
结论:
- 临床倡议必须解决医疗保健中的社会影响和"白色空间" (归属).
- 识别并对社区对系统性障碍 (耐力) 的意识敏感.
- 将回避行为重新定义为保护策略 (抵抗).
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