无家可归及吸毒青年对提供优质且具有文化敏感性的医疗保健过程中存在的障碍和促进因素的态度。
Attitudes of homeless and drug-using youth regarding barriers and facilitators in delivery of quality and culturally sensitive health care.
作者信息
Christiani Ashley, Hudson Angela L, Nyamathi Adeline, Mutere Malaika, Sweat Jeffrey
机构信息
David Geffen School of Medicine, University of California, Los Angeles, USA.
出版信息
J Child Adolesc Psychiatr Nurs. 2008 Aug;21(3):154-63. doi: 10.1111/j.1744-6171.2008.00139.x.
PROBLEM
Major barriers to care included a lack of culturally competent, accessible care despite the proximity of numerous health service agencies serving homeless youth.
METHODS
A qualitative approach using semistructured focus groups was used to assess the perspectives of 54 homeless and drug-using youth, aged 18-24 years, recruited from street- and shelter-based settings.
FINDINGS
Substance use was perceived as an adaptive response to psychological pain and survival on the streets as well as a health risk and barrier to care.
CONCLUSIONS
Facilitators to care and suggestions for improved health delivery and quality of care included utilization of health "mentors" to assist in navigating the medical system, cultural competency enhancements, improved amenities in clinic wait areas, and expanded pharmaceutical services.
问题
尽管有众多为无家可归青少年服务的医疗服务机构，但护理的主要障碍包括缺乏具有文化能力且可及的护理服务。
方法
采用半结构化焦点小组的定性方法，对从街头和收容所环境中招募的54名年龄在18至24岁之间的无家可归且吸毒的青少年的观点进行评估。
结果
物质使用被视为对心理痛苦和街头生存的一种适应性反应，同时也是一种健康风险和护理障碍。
结论
促进护理以及改善医疗服务提供和护理质量的建议包括利用健康“导师”协助患者在医疗系统中就诊、增强文化能力、改善诊所候诊区的设施以及扩大药学服务。
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