德国精神卫生保健系统中的歧视性做法:一个交叉基础理论研究
Neneh Rosalía Quadflieg1, Patiani Batchati2, Alva Träbert3,4
1Department of Psychiatry, Psychotherapy and Preventive Medicine, LWL University Hospital, Ruhr University Bochum, Bochum, Germany.
心理健康护理中的歧视妨碍了平等的获取. 这项研究揭示了交叉性如何,考虑到多种压迫,暴露了德国的歧视性做法,影响了边缘化用户的护理质量.
科学领域:
- 健康和疾病的社会学
- 公共卫生 公共卫生
- 心理健康护理的差异和差异
背景情况:
- 歧视性做法阻碍了所有用户平等获得心理健康护理.
- 了解歧视机制对于制定有效干预措施至关重要.
- 交叉性为分析相互连接的压迫体系中的歧视提供了一个框架.
研究的目的:
- 通过交叉镜头来检查德国精神卫生保健系统中的歧视性做法.
- 探索服务用户,提供者和心理社会顾问对歧视的看法.
- 识别导致精神卫生保健中的歧视的人际和组织因素.
主要方法:
- 在德国博赫姆与当地组织合作,进行了17次半结构面试.
- 分析了采访数据,使用了构建基于理论的方法.
- 采用一个跨部门的框架来解释发现.
主要成果:
- 歧视性做法对边缘化服务用户的心理健康护理的获取和质量产生负面影响.
- 人际歧视包括刻板印象,值,他人,无效,沉默,隐信息和拒绝治疗.
- 组织障碍包括缺乏口译服务,歧视性录取/文档,提供者能力差距以及治疗选择/环境不足.
结论:
- 歧视性做法大大削弱了对边缘化群体的精神卫生保健服务.
- 服务用户使用对抗和选择性叙述等策略来导航系统.
- 医疗保健提供者对歧视的反应各不相同,从防御性到承认.
- 调查结果突出了歧视性做法中的机构白人,cis-heteronormativity和精神疾病的相互作用.
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