The University of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, NC 27599-7460, USA.
Ethn Dis. 2009 Autumn;19(4 Suppl 5):S5-3-7.
In this article, lessons learned from the Chronic Care Model are discussed by addressing provider factors that may affect the delivery of care and patient adherence. Specifically, issues related to the provision of culturally competent and sensitive care are discussed in terms of race-concordant and discordant patient-provider relationships. Strategies for beginning and continuing the process of becoming culturally competent are presented, such as the ASKED framework for determining one's level of cultural competency and the LEARN framework for enhancing the patient-provider relationships. Lastly, tips are presented to assist providers in knowing their patients better which will ultimately enhance cultural competency and patient adherence to treatment regimes.
本文通过探讨可能影响医疗服务提供和患者依从性的提供者因素，讨论了从慢性护理模式中吸取的经验教训。具体而言，本文从种族一致和不一致的医患关系的角度，讨论了与提供文化上合适和敏感的护理相关的问题。本文还提出了开始和持续进行文化能力建设的策略，例如用于确定文化能力水平的 ASKED 框架和用于增强医患关系的 LEARN 框架。最后，本文还提出了一些建议，以帮助提供者更好地了解患者，从而最终提高文化能力和患者对治疗方案的依从性。
