Cobb Torry Grantham
Pacific University School of Physician Assistant Studies, Hillsboro, OR 97123, USA.
J Cult Divers. 2010 Fall;17(3):79-83.
In the early 1980's the United States gave the Hmong preferred refugee status and a large number immigrated to the U.S. The Hmong refugees brought with them their language, social structure and customs, religious beliefs and rituals as well as their health care beliefs and practices. They were uprooted from their community and social supports and now live where the culture, language and socioeconomics are vastly different. Despite having learned a great deal about the Hmong culture over the last three decades, providing culturally competent health care for this unique group continues to be a challenge. The purpose of this paper is to enumerate the barriers to providing health care to Hmong Americans and share strategies to respect Hmong culture when providing quality health care. Emphasis is placed on building relationships based on trust and mutual respect. Cultural exchange is encouraged as well as the need for basic cultural awareness.
20世纪80年代初，美国给予苗族难民优先地位，大量苗族人移民到美国。苗族难民带来了他们的语言、社会结构和习俗、宗教信仰和仪式，以及他们的医疗保健观念和做法。他们被连根拔起，离开了自己的社区和社会支持体系，如今生活在文化、语言和社会经济状况都大不相同的地方。尽管在过去三十年里对苗族文化有了很多了解，但为这个独特群体提供具有文化胜任力的医疗保健仍然是一项挑战。本文旨在列举为美籍苗族提供医疗保健的障碍，并分享在提供优质医疗保健时尊重苗族文化的策略。重点是建立基于信任和相互尊重的关系。鼓励文化交流以及基本文化意识的培养。
