在以家庭为中心的轮回期间的差异对于使用英语以外的其他语言的家庭而言
Judith S Pelpola1, Christina R Rojas2, Erin Abu-Rish Blakeney3
1Department of Pediatrics, Stanford University School of Medicine, Stanford, California.
以患者和家庭为中心的轮回 (PFCR) 显示了家庭使用英语以外的语言 (LOE) 的差异,特别是非英语/西班牙语 (LOES) 的语言. 改善PFCR需要为这些人群提供更好的语言访问和参与.
科学领域:
- 儿科医疗保健沟通 儿科医疗保健沟通
- 卫生公平研究 卫生公平研究
- 在临床环境中的语言多样性.
背景情况:
- 以患者和家庭为中心的回合 (PFCR) 是儿科护理的标准.
- 有限的研究重点是使用非英语 (LOE) 语言,特别是非英语/西班牙语 (LOES) 语言的家庭的经验.
研究的目的:
- 为了确定使用LOE与英语相比的家庭在PFCR期间的沟通和参与的差异.
- 专门研究使用西班牙语和LOES的家庭的差异.
主要方法:
- 来自21个中心结构化PFCR研究的干预后数据的分析.
- 根据地点调整后的物流回归比较了英语家庭和使用LOE,西班牙语或LOES的家庭之间的PFCR经验.
主要成果:
- 使用LOE,西班牙语和LOES的家庭在关键沟通领域的调整率明显较低,包括解释诊断和家庭参与.
- 在使用LOES的家庭中,差异特别明显,分享关切和参与的几率较低.
- 在涉及LOE,西班牙语和LOES的遭遇中,显著的比例没有使用口译服务.
结论:
- 对于使用LOE,特别是LOES的家庭来说,即使在PFCR干预后,沟通和参与的差异仍然很大.
- 未来的PFCR改进战略必须优先考虑语言获取,并加强LOE说话家庭的参与.
- 解决语言障碍对于在儿科环境中实现公平护理至关重要.
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