在西班牙语优先语言患者中,产前护理临床医师的偏好
Haylie M Butler1, Maria Bazan, Luis Rivera
1Harvard Medical School, the Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, and the Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts; Universidad Científica del Sur, Lima, Perú.
Obstetrics and gynecology
|August 15, 2024
概括
在选择产前护理时,英语水平有限的患者最重视临床医生的人际关系动态和西班牙语水平. 这些因素对于在怀孕期间提供公平,以患者为中心的护理至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
- 语言健康 公平 语言健康 公平
背景情况:
- 有限的英语水平 (LEP) 和语言偏好在获得公平的产前护理方面存在挑战.
- 了解患者偏好对于以患者为中心的护理模式至关重要.
研究的目的:
- 在选择产前护理临床医生时,确定西班牙人喜欢的LEP患者在选择产前护理临床医生时最有价值的属性.
主要方法:
- 在两个学术医疗中心,对166名参与者进行了离散选择实验.
- 参与者评估了八个属性,包括临床医生的西班牙语水平,翻译使用,人际关系动态,文化一致性,护理连续性,共享决策,距离和等待时间.
- 层次贝叶斯模型分析了选择数据.
主要成果:
- 人际关系动态 (21.4/100) 和临床医生的西班牙语能力 (20.8/100) 是最重要的因素.
- 等待时间 (5.1/100) 和护理连续性 (6.1/100) 是最不重要的.
- 虽然流利是优先考虑的,但基本的西班牙语水平比有误解的高级水平更有价值.
结论:
- 积极的临床医生-患者人际关系动态和语言一致性对于西班牙人喜欢的LEP患者在产前护理中至关重要.
- 公平的护理需要解决语言能力偏好,并表现出注意力和同情心.
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