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科索沃塞族人在冲突后和种族隔离的医疗体系中寻求医疗保健的经历。

Kosovo-Serbs' experiences of seeking healthcare in a post-conflict and ethnically segregated health system.

机构信息

Copenhagen School of Global Health, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.

出版信息

Int J Public Health. 2013 Jun;58(3):377-83. doi: 10.1007/s00038-012-0403-8. Epub 2012 Sep 4.

DOI:10.1007/s00038-012-0403-8
PMID:22945841
Abstract

OBJECTIVE

To examine the experiences of Kosovo-Serbs who seek healthcare in the formal Kosovo health system.

METHODS

Eleven semi-structured interviews were carried out with Kosovo-Serbs who live in one of the following mono-ethnic enclaves: Gorazhdevc/Goraždevac, Videje/Vidanje, Klinë/Klina and Viti/Vitina. A phenomenological approach was used to collect and analyze data.

RESULTS

The analysis shows the critical role of the depth of the relationship with Kosovo-Albanian doctors in the Kosovo-Serbs' experience of seeking care in the formal sector. The patient-doctor relationship is the result of two processes-longitudinal care and consultation experiences. Four elements, i.e., knowledge, trust, closeness and regard were identified as key aspects contributing to the depth of the relationship between Kosovo-Serb patients and Kosovo-Albanian doctors.

CONCLUSIONS

Fear, anxiety and language differences are still important barriers to Kosovo-Serbs' access to formal health care. These barriers are partly overcome as interviewees establish and develop relationships to Kosovo-Albanian doctors based on reciprocal knowledge, trust, closeness, and regard. Hereby, Kosovo-Serb patients and Kosovo-Albanian doctors contribute to blur the lines the ethnically divided health system and transcend the legacy of war.

摘要

目的

考察在科索沃正规卫生系统寻求医疗服务的科索沃塞族人的经历。

方法

对居住在以下单一种族飞地之一的科索沃塞族人进行了 11 次半结构化访谈:格拉代夫采/戈拉日代、维德耶/维丁杰、克林/克利纳和维季/维蒂纳。采用现象学方法收集和分析数据。

结果

分析表明,与科索沃阿尔巴尼亚医生关系的深度在科索沃塞族人在正规部门寻求医疗服务的体验中起着关键作用。医患关系是两个过程——纵向护理和咨询经验的结果。确定了知识、信任、亲近和尊重四个要素,这些要素是科索沃塞族患者与科索沃阿尔巴尼亚医生关系深度的关键方面。

结论

恐惧、焦虑和语言差异仍然是科索沃塞族人获得正规医疗服务的重要障碍。随着受访者根据互惠的知识、信任、亲近和尊重与科索沃阿尔巴尼亚医生建立和发展关系,这些障碍在一定程度上得到了克服。因此,科索沃塞族患者和科索沃阿尔巴尼亚医生有助于模糊种族分裂的卫生系统的界限,并超越战争的遗留问题。

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The patient-doctor relationship: a synthesis of the qualitative literature on patients' perspectives.医患关系:关于患者观点的定性文献综述
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Ethnic segregation in Kosovo's post-war health care system.科索沃战后医疗保健系统中的种族隔离。
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Palliative care in situations of conflict: lessons from Jerusalem.冲突情况下的姑息治疗:耶路撒冷的经验教训。
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Perception of racism explains the difference between Blacks' and Whites' level of healthcare trust.对种族主义的认知解释了黑人和白人在医疗保健信任度上的差异。
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Rebuilding a health care system: war, reconstruction and health care reforms in Kosovo.重建医疗体系:科索沃的战争、重建与医疗改革
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