医生对加强对中国民族患者文化敏感护理的看法:一种混合方法研究
Karissa M Wang1, Jasmine Deng1, Michelle Y Ko1
1David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Global advances in integrative medicine and health
|September 30, 2025
概括
医生需要更好地培训文化敏感性和传统中医 (TCM),以解决华裔美国人的健康差异. 整合TCM和文化理解改善了患者的信任和护理公平.
科学领域:
- 健康差异 在健康上的差异
- 在医疗保健中的文化能力.
- 医学教育 医学教育
背景情况:
- 美国医疗保健中的种族和种族差异已得到充分记录.
- 中国患者是美国医疗保健中日益增长的人口.
- 医学教育往往缺乏对中国文化敏感性和中国传统医学 (TCM) 的正式培训.
研究的目的:
- 探索医生在美国为华裔患者提供护理的经验.
- 确定提供文化敏感和公平护理的策略.
- 解决医疗教育中关于中国文化卫生实践的差距.
主要方法:
- 使用有目的和雪球采样进行定性研究.
- 在南加利福尼亚州,与19名医生 (7名学术,12名社区) 进行了半结构面试.
- 医生选择基于在他们的实践中有很大比例的华裔患者.
主要成果:
- 医生们报告说,患者与医疗服务提供者的关系,家庭参与,沟通以及对治疗的看法存在文化差异.
- 许多中国患者使用传统中医 (TCM) 与常规治疗一起,通常不公开.
- 关键建议包括更多的华语提供者,在培训中对中国患者的结构化接触,以及对中国健康信仰和中医教育.
结论:
- 需要在系统层面,教育层面和个人层面进行干预,以减少华裔美国人社区的健康差异.
- 将医生对文化实践的见解整合到医疗培训中可以增强信任和治疗坚持.
- 承认并将TCM纳入以患者为中心的护理促进了整体和文化一致的医疗保健.
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