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信任问题:美国非洲移民中医疗保健获取和利用的定性研究
Gashaye Melaku Tefera1, Ponsiano Ngondwe2, Shelby Varol2
1College of Social Work, Florida State University, Tallahassee, FL, USA. gtefera@fsu.edu.
越来越少的人对医疗保健的信任影响了非洲移民.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康和疾病的社会学
背景情况:
- 人们对美国医疗保健的信任下降与更差的健康结果和减少对预防性护理的参与有关.
- 了解影响医疗保健获取和利用的因素至关重要,特别是对于像移民社区这样的弱势群体.
研究的目的:
- 检查信任对佛罗里达州非洲移民医疗保健获取和利用的影响.
- 探索对美国医疗保健系统对这一群体的信任影响的感知障碍和好处.
主要方法:
- 定性研究采用了对佛罗里达州19名非洲移民进行深入采访,这些移民最近在美国获得了医疗保健经验.
- 分析使用NVivo14软件对与医疗保健信任相关的障碍,益处和应对策略进行专题识别.
主要成果:
- 感知到的障碍,如保险不确定性,不清晰的计费和不良沟通,导致护理延迟或停止.
- 参与者通过自我研究和倡导表现出自我效能;行动的线索包括寻求第二意见.
- 作为黑人移民和法律地位要求增加了感知易感性,迫使参与者在医疗保健环境中遵守规则.
结论:
- 医疗保健系统必须提高计费透明度,沟通,公平,并为移民提供法律保护,以建立信任.
- 在文化谦卑和创伤知情护理方面,提供者培训是必不可少的,除了吸引社区领导人进行健康促进之外.
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