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[初级卫生保健中的跨文化技能:文化多样性背景下高等教育面临的挑战]

[Intercultural skills in primary health care: a challenge for higher education in contexts of cultural diversity].

作者信息

Veliz-Rojas Lizet, Bianchetti-Saavedra Andrés Felipe, Silva-Fernández Marta

机构信息

Universidad de La Serena, La Serena, Chile.

Universidad San Sebastián, Concepción, Chile.

出版信息

Cad Saude Publica. 2019;35(1):e00120818. doi: 10.1590/0102-311x00120818. Epub 2019 Jan 10.

Abstract

Contemporary society is marked by four interconnected phenomena leading to the need to develop intercultural skills in the framework of primary care: migratory movements, different ethnic groups, cultural diversity, and social and cultural construction of the Western medical system. The multicultural reality of the contexts in which primary care is practiced requires integrative theoretical models that allow understanding this reality in order to provide timely, high-quality care that is pertinent to the respective communities, considering the existing diversity. It is thus necessary to implement and teach intercultural skills for health care teams and students, allowing to sustain such care from a holistic perspective. Educational interventions in intercultural skills should be conducted from a comprehensive, integrative, and cross-disciplinary perspective that allows intervening in attitudes, feelings, social behaviors, and cultural agendas at the individual, institutional, and social levels. The current essay aims to reflect on the importance of learning and developing such skills in primary care teams, meanwhile producing a list of strategies that allow acquiring these skills in basic training, with the understanding that skills are the result of experiences and can change during the process.

摘要

当代社会具有四个相互关联的现象,这导致在初级保健框架内发展跨文化技能的必要性:移民流动、不同种族群体、文化多样性以及西方医疗体系的社会和文化建构。初级保健实践所处环境的多元文化现实需要综合理论模型,以便理解这一现实,从而考虑到现有的多样性,提供与各自社区相关的及时、高质量护理。因此,有必要为医疗团队和学生实施并教授跨文化技能,以便从整体角度维持这种护理。跨文化技能的教育干预应从全面、综合和跨学科的角度进行,以便在个人、机构和社会层面干预态度、情感、社会行为和文化议程。本文旨在思考在初级保健团队中学习和发展此类技能的重要性,同时列出一系列在基础培训中获得这些技能的策略,要明白技能是经验的结果,并且在这个过程中可能会发生变化。

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