为移民患者提供医疗服务时语言障碍之外的因素。
Factors Beyond the Language Barrier in Providing Health Care to Immigrant Patients.
作者信息
Fatahi Nabi, Krupic Ferid
机构信息
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden; Department of Anesthesiology, Sahlgrenska University Hospital, Mölndal, Sweden.
出版信息
Med Arch. 2016 Feb;70(1):61-5. doi: 10.5455/medarh.2016.70.61-65. Epub 2016 Jan 31.
BACKGROUND
Due to the enormous migration as the result of war and disasters during the last decades, health systems in Europe are faced with various cultural traditions and both healthcare systems and healthcare professionals are challenged by human rights and values. In order to minimize difficulties in providing healthcare services to patients with different cultural backgrounds, cultural competence healthcare professionals are needed.
MATERIAL AND METHODS
Four focus group interviews, were conducted with Kurdish immigrants in Scandinavian countries (N=26). The majority were males (n=18) aged between 33-61 years (M= 51.6 years) and a few were (n=8) females aged 41-63 years (M=50.7 years). The data were analyzed by using qualitative content analysis method.
RESULTS
According to the study results participants experienced that diversities both in culture and healthcare routines create a number of difficulties regarding contact with healthcare services. Though culture related aspects influenced the process of all contact with health care services, the obstacles were more obvious in the case of psychological issues. The results of the study showed that cultural diversities were an obvious reason for immigrants' attitudes regarding healthcare services in resettlement countries.
CONCLUSION
The results of the study revealed a number of difficulties beyond linguistic problems regarding immigrants' contact with healthcare services in Scandinavian countries. Problems were rooted both in diversities in healthcare services and cultural aspects. Immigrants' views of healthcare systems and healthcare professionals' approach in providing healthcare were some of the problems mentioned.
背景
由于过去几十年战争和灾难导致的大规模移民，欧洲的卫生系统面临着各种文化传统，医疗保健系统和医疗保健专业人员都受到人权和价值观的挑战。为了尽量减少为具有不同文化背景的患者提供医疗服务时的困难，需要具备文化能力的医疗保健专业人员。
材料与方法
对斯堪的纳维亚国家的库尔德移民进行了四次焦点小组访谈（N = 26）。大多数是男性（n = 18），年龄在33至61岁之间（平均年龄M = 51.6岁），少数是女性（n = 8），年龄在41至63岁之间（平均年龄M = 50.7岁）。采用定性内容分析法对数据进行分析。
结果
根据研究结果，参与者体验到文化和医疗保健常规方面的多样性在与医疗服务接触方面造成了一些困难。尽管与文化相关的方面影响了与医疗保健服务的所有接触过程，但在心理问题方面障碍更为明显。研究结果表明，文化多样性是移民对安置国家医疗保健服务态度的一个明显原因。
结论
研究结果揭示了斯堪的纳维亚国家移民在与医疗保健服务接触方面除语言问题之外的一些困难。问题既源于医疗保健服务的多样性，也源于文化方面。移民对医疗保健系统的看法以及医疗保健专业人员提供医疗保健的方式是所提到的一些问题。
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