测试一种新的理论框架,研究在医疗保健中语言服务的实施.
Allison Squires1, Lauren Gerchow1, Chenjuan Ma1
1Rory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY, USA.
语言规划理论有助于理解医疗保健语言访问服务. 这项研究适应了三级视图模型 (3LVM),以确定影响医疗保健环境中语言服务实施的因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 社会语言学 社会语言学
- 健康 公平 卫生 公平
背景情况:
- 语言服务对于公平的医疗保健至关重要,但其实施仍未得到充分研究.
- 语言规划理论为分析实施挑战和成功提供了一个框架.
- 现有的研究缺乏一个强大的理论模型来研究医疗保健中的语言访问服务.
研究的目的:
- 适应和测试语言规划理论的三级视图模型 (3LVM),用于分析医疗保健中的语言访问服务实施.
- 确定影响医疗保健机构语言服务需求和实施的因素.
- 开发一个针对医疗保健的3LVM版本.
主要方法:
- 来自一项涉及英语水平有限的患者和家庭医疗保健临床医生的研究数据的定性二次分析.
- 以3LVM框架为指导的定向内容分析.
- 调整3LVM以整合临床医生/工作人员和患者的医疗保健特定功能.
主要成果:
- 3LVM有效地确定了创造语言服务需求的因素.
- 该模型区分了语言服务实施的促进者和障碍者.
- 开发了一个适应的,针对医疗保健的3LVM,证明对研究结构有用.
结论:
- 适应的3LVM为研究医疗保健中的语言访问服务实施提供了有价值的理论框架.
- 了解临床医生/工作人员和患者的功能是成功语言服务整合的关键.
- 这项研究有助于通过改善医疗保健中的语言获取来减少健康结果不平等.
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