探索GP注册人员认为与土著和托雷斯海峡岛民患者的咨询有什么独特之处:一种混合方法研究
Kay Brumpton1,2,3, Hannah Woodall4,2,3, Rebecca Evans2
1Rural Medical Education Australia, Toowoomba, Queensland, Australia k.brumpton@griffith.edu.au.
BMJ open
|May 30, 2024
概括
一般实践注册人员的目标是改善土著人的健康,但不寻求独特的咨询. 他们主要使用以患者为中心的护理,强调在医学教育中需要加强文化安全培训.
科学领域:
- 医学教育 医学教育
- 土著健康土著健康
- 文化安全文化安全
背景情况:
- 弥合原住民和托雷斯海峡岛民的健康成果差距需要在一般实践中理解文化安全.
- 一般医生 (GP) 注册人员对与土著患者的独特咨询的看法对于将医疗实践与患者决定的文化安全保持一致至关重要.
研究的目的:
- 探索GP注册人员在与土著和托雷斯海峡岛民患者的咨询中认为什么是独特的.
- 为了确定改善文化安全培训的潜在领域,为GP注册人员.
主要方法:
- 一项混合方法研究,结合了调查和半结构面试与GP注册人员.
- 调查包括人口统计数据,态度和文化能力评估.
- 采访探讨了注册人员对与土著患者进行咨询的经验和看法.
主要成果:
- 大多数全科医生注册医生采用了对咨询的通用方法,普遍应用了以患者为中心的护理原则.
- 登记人员承认需要改善土著和托雷斯海峡岛民的健康结果.
- 尽管有良好的意图,注册人员并没有确定或寻求土著患者咨询的独特方法.
结论:
- 一般医生注册人员希望提高土著患者的健康结果,但不认为他们的咨询需要有所区别.
- 这项研究强调了文化安全实践的目标与目前通用以患者为中心的护理方法之间的差距.
- 进一步发展和实施文化安全培训对于在土著卫生环境中转变GP注册人员的实践至关重要.
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