加拿大不列颠哥伦比亚省南亚社区的家庭医院:定性访谈研究
Emma Wong1, Mahabhir Kandola1, Kamal Arora1
1Department of Virtual Health, Fraser Health, 13450 102 Ave, Surrey, BC, V3T0H1, Canada, 1 6045616605.
南亚社区面临着健康差异. 家庭医院服务提供潜在的好处,但需要文化定制的策略来解决障碍,并改善这些多样化的人口的获取.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 在医疗保健中的文化能力.
- 数字健康 公平数字健康 公平
背景情况:
- 加拿大的南亚社区经历了严重的健康差异和慢性疾病.
- 现有的医院护理往往无法满足文化和宗教需求,造成了获取和满意的障碍.
- 家庭医院 (HaH) 服务有望改善护理,但在南亚人口中接受和实施需要进行调查.
研究的目的:
- 探索南亚社区成员在医院的个人护理方面的经验.
- 评估人们对虚拟家庭医院服务的看法,态度和期望.
- 确定文化定制的策略,以提高高质量和满意度.
主要方法:
- 使用半结构面试进行的定性研究,对20名南亚社区成员在不列颠哥伦比亚.
- 采访探讨了传统医院护理的经验和对虚拟医疗服务的看法.
- 采用专题分析来确定经验,需求和建议中的关键模式.
主要成果:
- 传统护理中的系统性障碍包括漫长的等待时间,拥挤和导航困难. 文化需求 (符合性别的护理,食物) 往往没有得到满足.
- 虚拟HH服务的价值是方便和家庭参与,但人们对临床质量,数字素养和隐私存在担忧.
- 根据年龄,移民身份和对技术的熟悉程度,人们对HaH的接受程度有所不同. 文化定制的外展对于建立信任至关重要.
结论:
- 南亚患者和护理人员认识到传统护理的挑战和HH的潜力.
- 对文化敏感的实施,解决系统性障碍和利用社区网络对于公平的高质量服务至关重要.
- 以患者为中心的方法对于设计和向种族化人口提供虚拟健康服务至关重要.
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