了解瑞安-怀特资助的艾滋病毒诊所中移民和难民客户的护理经验
Sirey Zhang1,2, Peggy-Ita Obeng-Nyarkoh3, Antonia Altomare3,4
1The Geisel School of Medicine at Dartmouth, Hanover, NH, USA. sirey.zhang@hsc.utah.edu.
Communications medicine
|June 10, 2025
概括
这项研究探讨了文化,社会和结构障碍如何影响移民和难民的艾滋病护理. 缓解权力动态和采用多维文化能力可以改善健康平等和福祉.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医学人类学 医学人类学
背景情况:
- 艾滋病毒感染的移民和难民在高收入国家面临着独特的挑战.
- 文化,社会和结构障碍阻碍了人们获得艾滋病毒治疗和坚持治疗.
- 该项目旨在通过了解客户和提供者的经验来改善护理系统.
研究的目的:
- 探索艾滋病毒诊所内的移民和难民客户和护理人员的经验.
- 识别进入和坚持艾滋病毒护理的障碍和促进者.
- 为改善弱势群体文化能力护理的策略提供信息.
主要方法:
- 使用参与者观察和标准化采访的聚焦民族学.
- 涉及三个艾滋病毒诊所的18名客户和4名诊所团队成员.
- 数据分析涉及编码,分类和主题开发,提供翻译服务和补偿.
主要成果:
- 缓解客户和临床医生之间的权力动态,以及护理团队成员之间的权力动态,提高了护理体验.
- 客户担心他们在社区中的耻辱感,并因移民身份而面临医疗保健获取挑战.
- 客户希望更多的诊所参与家庭,社区沟通和宣传.
结论:
- 文化上有能力的护理必须是多维的,考虑人际交互,混合身份,散居体验和结构不平等.
- 重塑文化能力和解决结构性脆弱性可以改变医疗保健互动.
- 实施以公平为导向的战略可以提高艾滋病毒感染的移民和难民群体的福祉.
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