非英语语言偏好个体中医学解释权的知识:一个横截面研究
Miguel Linares1,2, Stuart Lipsitz1, Shimon Shaykevich1,3
1Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA.
Medical care
|December 31, 2024
概括
几乎三分之一的非英语语言偏好 (NELP) 的人不知道他们有权获得医疗口译服务. 最近的移民和那些医疗保健获得有限的人面临着重大障碍,影响健康公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 患者倡导 患者倡导
背景情况:
- 非英语语言偏好 (NELP) 是健康的社会决定因素,造成沟通障碍并影响健康结果.
- 有限的健康素养和护理提供方面的偏见加剧了NELP人群的差异.
- 患者对口译服务的自我辩护至关重要,但往往由于对权利缺乏认识而受到阻碍.
研究的目的:
- 确定与加利福尼亚州NELP患者对医疗解释权的自我报告知识相关的因素.
- 探索这些知识的人口,文化和医疗保健相关预测因素.
主要方法:
- 采用加利福尼亚州健康访谈调查 (2012-2021) 的综合数据进行的横截面研究.
- 对12219名患有NELP的成年参与者的分析,代表超过250万加利福尼亚人.
- 主要结果:对医疗解释权的自我报告知识;共变量包括人口,文化和医疗保健因素.
主要成果:
- 28.6%的参与者不知道他们有权获得口译服务.
- 在已婚女性中观察到更高的知识概率.
- 较低的几率与最近的移民 (≤5年),混合语言家庭,最近没有去看医生,缺乏保险和自我报告的健康状况较差有关.
结论:
- 很大一部分NELP个人不知道他们有权获得医疗解释.
- 最近的移民,糟糕的健康状况和有限的医疗保健参与是这种意识的关键障碍.
- 有针对性的干预措施对于改善健康公平性和赋予患者使用口译服务的权力至关重要,与系统性变化一起.
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