School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
Qual Health Res. 2011 Mar;21(3):333-48. doi: 10.1177/1049732310385824. Epub 2010 Nov 12.
In this article, we discuss findings from an ethnographic study in which we explored experiences of access to primary care services from the perspective of Aboriginal people seeking care at an emergency department (ED) located in a large Canadian city. Data were collected over 20 months of immersion in the ED, and included participant observation and in-depth interviews with 44 patients triaged as stable and nonurgent, most of whom were living in poverty and residing in the inner city. Three themes in the findings are discussed: (a) anticipating providers' assumptions; (b) seeking help for chronic pain; and (c) use of the ED as a reflection of social suffering. Implications of these findings are discussed in relation to the role of the ED as well as the broader primary care sector in responding to the needs of patients affected by poverty, racialization, and other forms of disadvantage.
在本文中，我们讨论了一项民族志研究的结果，该研究从在位于加拿大大城市的急诊部寻求医疗服务的原住民的角度探讨了获得初级保健服务的体验。数据是在急诊部沉浸 20 多个月期间收集的，包括对 44 名被分诊为稳定和非紧急的患者的参与观察和深入访谈，他们中的大多数人生活贫困，居住在市中心。研究结果讨论了三个主题：（a）预测提供者的假设；（b）寻求慢性疼痛的帮助；（c）将急诊部用作社会痛苦的反映。这些发现的意义与急诊部以及更广泛的初级保健部门在回应受贫困、种族化和其他形式劣势影响的患者的需求方面的作用有关。
