比利时移民背景患者在医疗决策方面的偏好和挑战:焦点小组研究
Amina Yakhlaf1, Flore Vermijs2, Katrien Bombeke2
1Centre for Population, Family and Health, Department of Sociology, University of Antwerp, Sint-Jacobstraat 2-4, Antwerp, 2000, Belgium. amina.yakhlaf@uantwerpen.be.
概括
文化多样性影响了比利时的医疗决策 (MDM). 了解患者和GP对MDM偏好和挑战的看法对于文化敏感的初级医疗保健至关重要.
科学领域:
- 初级保健研究研究初级保健研究
- 医学社会学 医学社会学
- 卫生沟通健康沟通
背景情况:
- 比利时的多元化人口在初级医疗保健中提出了独特的挑战,特别是在医生与患者的互动中.
- 医疗决策 (MDM) 是初级保健的核心,并且可能因跨文化沟通和关于患者自主权的文化偏好而复杂化.
研究的目的:
- 检查患者和全科医生 (GP) 对比利时移民背景患者中MDM偏好和挑战的观点.
主要方法:
- 与来自摩洛哥,土耳其和撒哈拉以南非洲背景的患者 (n=19) 和全科医生 (n=13) 进行了五次焦点小组讨论 (FGD).
- 数据使用反射主题分析来分析.
主要成果:
- 在MDM中的偏好和挑战包括信息交换,决策机构,患者与提供者关系和治疗计划.
- 这些因素受到个人,人际关系,机构和文化因素的影响.
结论:
- 对MDM进行交叉,多层次的方法是必不可少的,考虑到个人背景和文化因素.
- 一般医生可以通过解决机构因素和个体患者需求来改善文化敏感的互动和以人为中心的护理.
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