Abbott Stephen, Riga Michael
City University Institute of Health Sciences, London, UK.
Public Health. 2007 Dec;121(12):935-41. doi: 10.1016/j.puhe.2007.04.014. Epub 2007 Jul 25.
To explore the views of primary care staff about delivering services to the local Bangladeshi community.
Qualitative case study.
Six focus groups, each with a different healthcare profession: speech and language therapists; child development team; health advocacy team; salaried general practitioners; school nurses; and occupational therapists.
The study contributors spoke of the community as homogeneous and different from other communities. Language, religion and a lack of knowledge of the National Health Service were barriers to effective service use. There was only limited acknowledgement of the deprivation of this community and of similarities to other deprived communities. Health education and promotion were thought to be the best solutions to the difficulties identified.
The study contributors' views seemed to derive from anecdotal rather than research-based evidence. There is a clear need for training, not only in equality and diversity, but also in core public health approaches: understanding the links between poverty and poor health; the scope and limitations of health promotion; and the role of community development.
探讨基层医疗人员对为当地孟加拉社区提供服务的看法。
定性案例研究。
六个焦点小组，每个小组由不同的医疗保健专业人员组成：言语和语言治疗师；儿童发展团队；健康倡导团队；受薪全科医生；学校护士；以及职业治疗师。
研究参与者称该社区具有同质性，且与其他社区不同。语言、宗教以及对国民医疗服务体系缺乏了解是有效利用服务的障碍。对于该社区的贫困状况以及与其他贫困社区的相似之处，人们的认识非常有限。健康教育和促进被认为是解决所发现困难的最佳办法。
研究参与者的观点似乎源于轶事证据而非基于研究的证据。显然需要进行培训，不仅要培训平等和多样性方面的内容，还要培训核心公共卫生方法：理解贫困与健康不佳之间的联系；健康促进的范围和局限性；以及社区发展的作用。
