Malach R S, Segel N
Child Health Care. 1990 Fall;19(4):219-28. doi: 10.1207/s15326888chc1904_5.
The national effort to improve services to children with special health care needs presents unique challenges for the delivery of services to American Indian families. This study took place in New Mexico. American Indian families whose children have special needs and health care providers were interviewed. Their responses about obstacles to health care for their children and suggestions for improving services were examined. Generally, both groups identified similar obstacles, although important differences between groups were noted. The findings point to the need for understanding cultural barriers and the unique concerns of low income families living in rural areas. This has important implications for planning changes in the health care system for American Indian children with special needs.
国家为改善对有特殊医疗需求儿童的服务所做的努力，给为美国印第安家庭提供服务带来了独特的挑战。这项研究在新墨西哥州开展。研究人员采访了孩子有特殊需求的美国印第安家庭以及医疗服务提供者。他们针对孩子获得医疗服务的障碍以及改善服务的建议所做的回应得到了研究。总体而言，尽管两组之间存在一些重要差异，但双方都指出了类似的障碍。研究结果表明，有必要了解文化障碍以及农村低收入家庭的独特关切。这对于规划为有特殊需求的美国印第安儿童提供医疗服务体系的变革具有重要意义。
