Browne Dianne R, Hackett Sherolde, Burger Allison
SNJPC Camden Healthy Start, 808 Market Street, Camden, NJ, 08102, USA.
Southern New Jersey Perinatal Cooperative, 2500 McClellan Avenue, Suite 250, Pennsauken, NJ, 08109, USA.
Matern Child Health J. 2017 Dec;21(Suppl 1):101-106. doi: 10.1007/s10995-017-2382-0.
Objectives Women living in communities with low-socioeconomic status, substandard healthcare, and ongoing exposure to social disparities encounter barriers to healthcare, often making it difficult to access health services. Barriers may stem from provider interactions with clients, conditions of the healthcare facility, or even language barriers. This prompts a call for providers to be keenly aware of the obstacles women encounter when attempting to access services. Methods In an effort to facilitate better access to services, Camden Healthy Start conducted six focus groups. Thirty-nine women between the ages of 22-56 participated. A total of 39 questions were posed to participants about health behavior, health services, pregnancy, reproductive health, and barriers to accessing services. Each 2 h session was audio recorded, translated and transcribed. Following the format of the Women's Health: Attitudes and Practices in North Carolina Focus Group Research, responses were analyzed and themes emerged. Results This article discusses characteristics of healthcare services and cultural insensitivity that impact women's access and act as barriers to care. The results signal the need for Healthy Start to apply a more relational engagement when providing services. Consideration for Practice Relational engagement includes getting to know the client as a person first, respecting their rights to autonomy in the decision making process, and demonstrating an understanding of the client's culture and inclusion of their voices in the conversation.
目标 生活在社会经济地位低下、医疗保健水平不达标准且持续面临社会差异的社区中的女性在获得医疗保健方面会遇到障碍，这常常使她们难以获得医疗服务。障碍可能源于医疗服务提供者与患者的互动、医疗机构的条件，甚至语言障碍。这促使人们呼吁医疗服务提供者敏锐地意识到女性在试图获得服务时所遇到的障碍。方法 为了促进更好地获得服务，卡姆登健康启动项目开展了六个焦点小组。39名年龄在22至56岁之间的女性参与其中。共向参与者提出了39个关于健康行为、健康服务、怀孕、生殖健康以及获得服务的障碍等方面的问题。每2小时的会议都进行了录音、翻译和转录。按照《北卡罗来纳州焦点小组研究中的女性健康：态度与实践》的格式，对回答进行了分析并提炼出了主题。结果 本文讨论了影响女性获得医疗服务并成为护理障碍的医疗服务特征和文化不敏感问题。结果表明健康启动项目在提供服务时需要采用更具关系性的参与方式。实践考量 关系性参与包括首先将患者作为个体来了解，尊重他们在决策过程中的自主权，以及表现出对患者文化的理解并在对话中纳入他们的声音。
