医学不信任:一个概念分析分析
Meghna Shukla1, Marvin Schilt-Solberg2, Wanda Gibson-Scipio1
1Wayne State University College of Nursing, Detroit, MI 48202, USA.
Nursing reports (Pavia, Italy)
|March 26, 2025
概括
医疗不信任,健康的社会决定因素,源于恐惧和剥削,影响医疗服务的使用和结果. 了解它的根源和后果对于医疗保健至关重要.
科学领域:
- 健康的社会决定因素
- 健康差异 在健康上的差异
- 医学社会学 医学社会学
背景情况:
- "医疗不信任"一词的使用量增加,但缺乏全面的概念化.
- 本分析通过检查其文献来解决对医疗不信任的清晰定义的需要.
- 该研究旨在定义医疗不信任,并说明其概念框架.
研究的目的:
- 分析现有文献中"医疗不信任"的使用情况.
- 阐述医学不信任的先例,属性和后果.
- 为医学不信任提出初步的概念定义和数字.
主要方法:
- 使用了沃克和阿凡特的概念分析方法.
- 提取的概念属性,先例,后果和经验参考.
- 在PubMed,CINAHL,Scopus,PSYCinfo和谷歌进行了文献搜索.
主要成果:
- 医学不信任被定义为由恐惧驱动的健康的社会决定因素,影响人际,代际和机构层面.
- 确定的先例包括历史创伤,社会经济差异,医疗气体照明和系统不平等.
- 其后果包括卫生服务的不足利用,护理延迟,不良遵守,负面的健康结果和更多的错误信息吸收.
结论:
- 医疗不信任是健康的重要社会决定因素,具有深远的影响.
- 这些发现需要医疗保健提供者,系统,研究人员和决策者的注意.
- 解决医疗不信任对于改善健康公平和结果至关重要.
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