跨文化医学中的产前遗传咨询：家庭医生的框架。
Prenatal genetic counseling in cross-cultural medicine: A framework for family physicians.
机构信息
Faculty of Medicine, Memorial University of Newfoundland, Health Sciences Centre, St John's, Nfld A1B 3V6.
出版信息
Can Fam Physician. 2010 Oct;56(10):993-9.
OBJECTIVE
To help family physicians practise effective genetic counseling and offer practical strategies for cross-cultural communication in the context of prenatal genetic counseling.
SOURCES OF INFORMATION
PubMed and the Cochrane Database of Systematic Reviews were searched. Most evidence was level II and some was level III.
MAIN MESSAGE
The values and beliefs of practitioners, no less than those of patients, are shaped by culture. In promoting a patient's best interest, the assumptions of both the patient and the provider must be held up for examination and discussed in the attempt to arrive at a consensus. Through the explicit discussion and formation of trust, the health professionals, patients, and family members who are involved can develop a shared understanding of appropriate therapeutic goals and methods.
CONCLUSION
Reflecting on the cultural nature of biomedicine's ideas about risk, disability, and normality helps us to realize that there are many valid interpretations of what is in a patient's best interest. Self-reflection helps to ensure that respectful communication with the specific family and patient is the basis for health care decisions. Overall, this helps to improve the quality of care.
目的
帮助家庭医生进行有效的遗传咨询，并提供在产前遗传咨询背景下进行跨文化交流的实用策略。
信息来源
检索了 PubMed 和 Cochrane 系统评价数据库。大多数证据为 II 级，部分为 III 级。
主要信息
从业者的价值观和信念，不亚于患者的价值观和信念，都是由文化塑造的。为了促进患者的最大利益，必须对患者和提供者的假设进行审查和讨论，以达成共识。通过明确的讨论和建立信任，参与其中的卫生专业人员、患者和家庭成员可以共同理解适当的治疗目标和方法。
结论
反思生物医学关于风险、残疾和正常的观念的文化性质，有助于我们认识到，对于什么是符合患者最大利益，有许多合理的解释。自我反思有助于确保与特定家庭和患者的尊重性沟通是医疗决策的基础。总的来说，这有助于提高医疗服务质量。
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