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超越“负担得起”的医疗保健:文化理解与敏感性——解决美国西班牙裔人口医疗保健差距的必要条件。

Looking beyond "affordable" health care: cultural understanding and sensitivity-necessities in addressing the health care disparities of the U.S. Hispanic population.

作者信息

Askim-Lovseth Mary K, Aldana Adriana

机构信息

Department of Marketing, College of Business and Public Administration, University of North Dakota, Grand Forks, North Dakota 58201, USA.

出版信息

Health Mark Q. 2010 Oct;27(4):354-87. doi: 10.1080/07359683.2010.519990.

Abstract

Health disparities are pervasive in the United States; but among Hispanics, access to health care is encumbered by poverty, lack of insurance, legal status, and racial or minority status. Research has identified certain aspects of Hispanic culture, values, and traditions contributing to the nature of the Hispanic patient-doctor relationship and the quality of the health care service. Current educational efforts by nonprofit organizations, government, health professionals, and pharmaceutical manufacturers fail to address the needs for accessible and appropriately culture-sensitive information when approaching the diverse Hispanic community. Understanding Hispanics' consumptive practices and expectations surrounding medications is critical to the success of many treatment regimens. Recommendations are presented to address this health care issue.

摘要

健康差异在美国普遍存在;但在西班牙裔人群中,获得医疗保健受到贫困、缺乏保险、法律地位以及种族或少数族裔身份的阻碍。研究已经确定了西班牙裔文化、价值观和传统的某些方面,这些方面影响着西班牙裔医患关系的性质和医疗保健服务的质量。目前,非营利组织、政府、医疗专业人员和制药厂商所做的教育工作,在接触多元化的西班牙裔社区时,未能满足获取易于理解且具有适当文化敏感性信息的需求。了解西班牙裔围绕药物的消费习惯和期望对于许多治疗方案的成功至关重要。本文提出了应对这一医疗保健问题的建议。

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