Andrus N C, Partner S F, Leppert P C
Rochester General Hospital, NY, USA.
J Health Hum Serv Adm. 1997 Fall;20(2):230-41.
Beginning in March, 1994, a multi-cultural, interdisciplinary team of health care providers at Rochester General Hospital in Rochester, New York, planned and implemented a prenatal outreach program in partnership with the Rochester YWCA. The purpose of the project is to increase access to obstetric and gynecological services for low-income African-Americans, Hispanic, and white women. The processes involved in developing an outreach intervention program, Opening Doors, are described and the conflicts that surfaced during the initial stages of program development are analyzed. The problems which occurred can be attributed to role boundary conflict and differences in philosophy regarding ethnicity and health behavior. Through interviews with the anthropologist on the management team and some changes in the overall structure of the program administration, resolution of the conflicts became possible.
从1994年3月开始，纽约罗切斯特综合医院的一个由医疗保健提供者组成的多元文化、跨学科团队，与罗切斯特基督教女青年会合作，规划并实施了一项产前外展项目。该项目的目的是增加低收入非裔美国人、西班牙裔和白人女性获得妇产科服务的机会。文中描述了制定外展干预项目“打开大门”所涉及的过程，并分析了项目开发初期出现的冲突。出现的问题可归因于角色边界冲突以及在种族和健康行为方面的理念差异。通过与管理团队中的人类学家进行访谈以及对项目管理整体结构的一些调整，冲突得以解决。
