巴基基萨马:菲律宾患者对医疗保健获取和利用的看法
Charles G Jose1, Rachel Lucy2, Alma Manabat Parker2
1From the PeaceHealth, Ketchikan, AK (CGJ, RL, JC, LM); Ketchikan Wellness Coalition, Ketchikan, AK (AMP); University of Washington Department of Family Medicine, Seattle, WA (CGJ, AMC); Institute of Translational Health Sciences, Seattle, WA (AMC). cjose2@peacehealth.org.
菲律宾的文化和语言是获得医疗保健的关键. 通过可联系的沟通和理解像"Pakikisama"这样的文化价值观来建立信任,可以改善与美国医疗保健系统的接触.
科学领域:
- 卫生社会学 卫生社会学
- 在医疗保健中的文化能力.
- 健康差距 研究 研究 研究 研究
背景情况:
- 由于独特的社会决定因素,文化价值观和信仰,菲律宾人的心血管并发症率更高.
- 了解这些因素对于为这群人提供有效的医疗保健至关重要.
研究的目的:
- 确定影响医疗保健获取和利用的菲律宾价值观,做法和信仰体系.
- 探索文化因素如何影响菲律宾人与医疗保健系统的互动.
主要方法:
- 定性研究涉及1对1的半结构化采访,对20名自称菲律宾患者进行了定性研究.
- 数据收集,主题编码和解释性分析的常量比较方法.
主要成果:
- 文化和语言被认为是菲律宾人获得健康服务的基本支柱.
- 通过积极的沟通,可联系的互动和熟悉跨文化价值观,增强对临床医生的信任,以"Pakikisama"为例.
- 导航美国医疗保健系统带来了挑战,这些挑战可能会阻碍获得护理.
结论:
- 文化和语言是菲律宾社区获得医疗保健的重要组成部分.
- 医疗保健系统应优先考虑跨文化临床培训,增加人员多样性,以改善护理.
- 加强文化理解和沟通策略可以改善菲律宾人的医疗护理导航和利用.
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