Defense Health Agency, Clinical Support Division, Department of Defense.
National Center for PTSD- Dissemination & Training Division, Department of Veterans Affairs, VA Palo Alto Health Care System.
Psychol Serv. 2019 May;16(2):276-280. doi: 10.1037/ser0000252. Epub 2018 Nov 8.
Traditional cultural models typically address factors like ethnicity, language, and race as important concerns pertaining to treatment efficacy, but over the years, professionals have expanded the focus to include gender, sexual orientation, age, socioeconomic status, and other aspects of identity and experience, including military cultural issues. As the integration of mobile health increases in clinical care, another important cultural factor that can impact care is technological culture. Differences in perception of technological competence by patient and provider can impact the provider's ability to effectively connect with the patient and fully leverage tools to support evidence-based treatment. In this article, we describe provider- and patient-level cultural issues in the provision of clinical care in the military and veteran populations and how the development of cultural competency in technological culture can improve patient care. We apply traditional models in the development of cultural competency to technological culture as well as provide recommendations for providers in Department of Defense and Department of Veterans Affairs health care systems that may be relevant to outside clinicians as well. Key factors are addressed when considering the cultural issues involved in the clinical integration of mobile health in the military and veteran populations. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
传统的文化模型通常将族裔、语言和种族等因素视为与治疗效果相关的重要关注点，但多年来，专业人员已将重点扩展到包括性别、性取向、年龄、社会经济地位以及其他身份和经验方面，包括军事文化问题。随着移动医疗在临床护理中的融合不断增加，另一个可能影响护理的重要文化因素是技术文化。患者和提供者对技术能力的感知差异会影响提供者与患者有效联系并充分利用工具支持循证治疗的能力。在本文中，我们描述了在为军事和退伍军人提供临床护理时提供者和患者层面的文化问题，以及在技术文化中培养文化能力如何改善患者护理。我们将传统模型应用于技术文化的文化能力发展中，并为国防部和退伍军人事务部医疗保健系统的提供者提供建议，这些建议可能与外部临床医生也相关。在考虑移动医疗在军事和退伍军人人群中的临床整合所涉及的文化问题时，需要考虑关键因素。（PsycINFO 数据库记录（c）2019 APA，保留所有权利）。
