双灵人民的经验是从社区药房获得和接受社区药房的护理
Marissa Pirlot1, Jaris Swidrovich2
1College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Saskatchewan.
概括
双灵民族在加拿大社区药房面临重大障碍,原因是种族主义和异性规范性等系统性问题. 教育和系统变化对于改善他们的医疗保健经验和获得医疗保健至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 土著健康土著健康
- 药房实践 在药房实践中
背景情况:
- 双灵民族在加拿大遇到独特的医疗保健挑战.
- 现有的医疗服务,包括社区药房,往往是基于异性和 cis-规范的模型.
- 在社区药房设置中,关于双灵人民在社区药房设置中的经验的研究存在重大差距.
研究的目的:
- 探索双灵民族在社区药房获得和接受护理的经验.
- 识别影响双灵人民医疗互动的系统障碍.
- 为了收集改善社区药房服务的建议,为双灵个人提供服务.
主要方法:
- 涉及21个双灵个体的定性研究.
- 在加拿大各地 (萨斯卡通,温哥华,埃德蒙顿,多伦多) 开展了四个重点小组.
- 使用土著方法,录音和笔记收集的数据,通过以语音为中心的关系方法进行分析.
主要成果:
- 确定了三个主要的系统问题:白人至上主义,资本主义和异常规范性.
- 其表现包括种族主义,同性恋恐惧症,跨性别恐惧症以及缺乏药剂师知识/参与度.
- 参与者建议使用包容性语言,用代词/名字更新患者档案,并增加双灵健康教育.
结论:
- 拆除当前的社会和社区药房结构是解决发现问题的必要条件.
- 双灵民族面临的障碍导致避免医疗保健.
- 关于双灵健康的许可前和许可后药房教育对于改善护理准入和经验至关重要.
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