在边缘化和弱势群体中促进健康平等
1Transcultural C.A.R.E, Associates, 11108 Huntwicke Place, Blue Ash, OH 45241, USA.
The Nursing clinics of North America
|January 25, 2024
概括
这项研究研究了边缘化群体的健康公平性,提出了"文化竞争力",以改善文化响应性护理,并通过多层次干预减少医疗保健差异.
科学领域:
- 健康 公平 研究 健康 公平 研究
- 文化能力研究 文化能力研究
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 在边缘化和弱势群体中存在严重的健康差异.
- 目前对文化响应性护理的策略需要仔细研究.
- 像文化能力和文化谦卑这样的现有框架都有局限性.
研究的目的:
- 检查有关边缘化群体医疗保健差异的健康公平.
- 审查加强文化响应性护理的战略.
- 提出一种新的范式",文化竞争力",以解决这些问题.
主要方法:
- 关于健康公平战略的文献综述.
- 分析文化能力和文化谦卑的概念.
- 开发一个新的理论框架:文化竞争力.
主要成果:
- 确定了在医疗保健领域对结构性能力的需求.
- 突出了围绕文化能力和文化谦卑的持续辩论.
- 提出"文化竞争力"作为一个综合的方法.
结论:
- 多层次的方法 (下游,中游,上游) 对于减少健康不平等至关重要.
- 结构能力对于解决医疗保健中的系统性问题至关重要.
- 文化竞争力为改善对弱势群体的照顾提供了一个新的框架.
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