De Gagne Jennie C, Oh Jina, So Aeyoung, Haidermota Murtaza, Lee Shih-Yu
Duke University, Durham, NC, USA.
Inje University, Busan, South Korea
J Transcult Nurs. 2015 Sep;26(4):354-64. doi: 10.1177/1043659614526247. Epub 2014 May 6.
The study explored health care experiences among Asian Indian immigrants living in the Southeastern United States.
A concurrent triangulation mixed methods design was used with a purposive sample of 125 Asian Indian immigrants aged between 40 and 64 years in the survey and 10 participants in the focus group.
The majority of the participants had health insurance and higher socioeconomic status. They had a moderate level of knowledge on the U.S. health care system and health insurance while presenting moderate satisfaction with the system. Barriers to health care services and needs in the health care system were identified from both quantitative and qualitative data. Some of the barriers were high costs, dissatisfaction with services, and inconvenience in accessing services. Participants called for self-management and community-based health programs as well as culturally tailored health care services.
Findings congruent with prior studies further support the importance of comprehending Asian Indians' unique cultural background and experiences in the health care system. This study can be the foundation for culturally competent care to advance the body of transcultural nursing knowledge.
Culturally congruent community-based health care programs are needed to provide better care for the ethnic minority to maintain and promote their health status.
本研究探讨了居住在美国东南部的亚洲印度移民的医疗保健经历。
采用了一种同步三角测量混合方法设计,对125名年龄在40至64岁之间的亚洲印度移民进行了调查,并选取了10名参与者进行焦点小组讨论。
大多数参与者拥有医疗保险且社会经济地位较高。他们对美国医疗保健系统和医疗保险的了解程度适中,对该系统的满意度也处于中等水平。从定量和定性数据中都发现了医疗保健服务的障碍以及医疗保健系统中的需求。其中一些障碍包括高成本、对服务的不满以及获取服务的不便。参与者呼吁开展自我管理和基于社区的健康项目以及符合文化特点的医疗保健服务。
与先前研究一致的结果进一步支持了理解亚洲印度人在医疗保健系统中独特文化背景和经历的重要性。本研究可为提供具有文化胜任力的护理、推进跨文化护理知识体系奠定基础。
需要开展符合文化特点的基于社区的医疗保健项目,以便为少数民族提供更好的护理,维持和促进他们的健康状况。