在儿科皮肤病护理中对少数群体家庭最重要的是什么:一项定性研究
Molly Thapar1, Elizabeth Garcia-Creighton1, Sandra Garcia-Hernandez2
1University of Colorado School of Medicine, Aurora, Colorado, USA.
Pediatric dermatology
|July 12, 2025
概括
对于少数群体的家庭来说,让孩子的皮肤科医生听到他们的感受比种族或种族一致更重要. 同理心,验证和尊重是改善儿科皮肤病护理的关键.
科学领域:
- 儿科皮肤病学 儿科皮肤病学
- 健康差异 在健康上的差异
- 患者体验 患者体验
背景情况:
- 儿童皮肤病护理的有限获取不成比例地影响了黑人,西班牙裔和美国印第安人/阿拉斯加原住民 (AI/AN) 社区.
- 了解这些少数家庭的经历对于减少皮肤病学中的医疗保健差异至关重要.
- 目前对这些群体的儿科皮肤病护理中的患者观点的知识有限.
研究的目的:
- 探索种族和/或少数民族家庭在儿童皮肤病护理方面的价值观.
- 评估关于儿科患者和医疗保健临床医生之间种族一致性的意见.
- 了解儿科皮肤科医生如何根据患者和家庭的反来增强他们的实践.
主要方法:
- 对32名英语或西班牙语的父母/监护人进行了定性采访,这些孩子在儿科皮肤病诊所接受护理.
- 被认定为黑人,西班牙裔或美国印第安人/阿拉斯加原住民 (AI/AN) 的参与者.
- 主题分析采用反射式,以团队为基础的诱导方法来确定关键主题.
主要成果:
- 四个主要主题出现了:"被听到",患者-临床医生种族/种族一致性,患者-临床医生性别一致性,以及儿科患者-临床医生关系.
- "被听到" - - 由验证,同情,耐心和尊重自治来定义 - - 是家庭最重要的因素.
- 虽然种族/种族一致性被重视,但父母优先考虑具有类似少数民族背景的临床医生,而不是直接的种族/种族匹配. 还注意到对性别一致性和临床医生沟通风格的偏好.
结论:
- 种族和/或少数民族家庭强调,虽然临床医生一致性很重要,但在儿科皮肤病学中",被听到"的经验至关重要.
- 人际交往技巧,包括同情和验证,应该整合到皮肤病学实习培训中.
- 提高这些核心能力可以改善对多样化和服务不足的儿科患者的护理.
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