为少数民族群体量身定制的以文化为中心的药房服务的实施和提供:定性系统性审查和元民族学
Caitlin Shaw1, Ghalib Khan2, Thorrun Govind2
1School of Pharmacy, Newcastle University, Newcastle upon Tyne, UK.
概括
本次审查强调了改善少数民族社区药房服务的关键主题,重点关注文化能力,沟通和加强患者与提供者的关系,以减少健康不平等.
科学领域:
- 药房实践和公共卫生
- 医疗服务研究 医疗服务研究
- 关于健康公平性的研究.
背景情况:
- 健康不平等不成比例地影响少数民族社区,导致较差的健康和药物治疗结果.
- 药房是一个可访问的环境,但对少数民族的以文化为中心的服务需要进一步发展.
- 了解和解决少数群体在医疗保健方面的特定需求至关重要.
研究的目的:
- 系统地审查有关少数民族社区卫生和医疗不平等障碍,促进因素和干预措施的定性研究.
- 综合证据,以文化为中心,为服务不足的人群提供药房服务.
- 为发展更公平的药房实践提供信息.
主要方法:
- 在2023年11月,在MEDLINE,Embase,CINAHL和PsycINFO进行了系统的文献搜索.
- 包括针对少数民族群体在医学和卫生服务方面的不平等问题的定性研究.
- 数据使用元民族学方法 (Noblit和Hare) 进行了合成.
主要成果:
- 综合了13项国际研究,确定了四个关键主题.
- 主题包括导航全球药房系统,了解对药物使用的文化影响,加强患者提供者关系和克服语言障碍.
- 相互翻译和集中分析揭示了改善服务的关键领域.
结论:
- 建议包括提高对药房服务的认识,加强文化能力培训,促进社区关系,改善对口译服务的获取.
- 已经开发了一个模板,用于在多个层面实施和提供以文化为中心的药房服务.
- 未来的研究应该优先考虑实践经验叙述和共同设计方法,以解决医疗保健可访问性不平等的问题.
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