Matheny Medical and Educational Center, P.O. Box 339, Peapack, NJ 07977, USA; Rutgers New Jersey Medical School, Newark, NJ, USA.
Disabil Health J. 2013 Oct;6(4):271-9. doi: 10.1016/j.dhjo.2013.05.002. Epub 2013 Jun 18.
The training of health care providers has been identified as key to resolving the health disparities experienced by persons with disabilities. We contend that: 1) cultural competency provides a useful conceptual framework for teaching disability-related content to health professions students; 2) educational experiences can be structured to reflect the socio-cultural complexity of the 'disability culture;' 3) desired competencies associated with culture can be defined with regard to professionals' approach to patients with disabilities; 4) exposure to persons who have disabilities in their homes allows the student to make connections between the nuances of daily life with a disability and one's health care needs; 5) the framework allows the disability culture to be integrated with other cultural contexts, including race and ethnicity; and 6) the framework acknowledges the potential impact of providers' conscious or unconscious recognition of their potential membership in the disability culture on their approach to patients with disabilities.
卫生保健提供者的培训已被确定为解决残疾人士所经历的健康差距的关键。我们认为:1)文化能力为向卫生专业学生传授与残疾相关的内容提供了一个有用的概念框架;2)教育经验可以构建,以反映“残疾文化”的社会文化复杂性;3)可以根据专业人员对残疾患者的方法来定义与文化相关的所需能力;4)让学生在自己的家中接触残疾人士,可以使他们将残疾日常生活的细微差别与他们的医疗保健需求联系起来;5)该框架允许将残疾文化与其他文化背景(包括种族和民族)相结合;6)该框架承认提供者对其在残疾文化中潜在成员身份的有意识或无意识认识对其对待残疾患者的方法可能产生的影响。