University of Southern California, Los Angeles, USA.
University of South Florida, Tampa, USA.
J Appl Gerontol. 2020 May;39(5):457-462. doi: 10.1177/0733464819842495. Epub 2019 Apr 15.
Using data from surveys with Korean Americans aged 60 years or above ( = 2,150), the level of healthcare navigation self-sufficiency was assessed, and its related factors were explored. The overall status of self-sufficiency was low; for example, over half of the sample needed assistance with reading and filling out medical documents, and nearly half needed someone to interpret during medical visits. Diminished self-sufficiency in healthcare navigation was associated with disadvantaged social status (e.g., advanced age, female gender, and low education), early stages of immigration (short length of stay in the U.S. and low English proficiency), and lack of personal health resources (e.g., poor health condition and lack of health insurance). The findings shed light on older immigrants' challenges in the use of health services in a broad sense and help identify areas of patient burden and avenues for interventions.
本研究使用 2150 名年龄在 60 岁及以上的韩裔美国人的调查数据，评估了医疗保健导航的自理能力水平，并探讨了其相关因素。结果显示，整体自理能力水平较低；例如，超过一半的样本在阅读和填写医疗文件方面需要帮助，近一半的人在就诊时需要有人翻译。医疗保健导航自理能力下降与社会地位不利（如年龄较大、女性和受教育程度较低）、移民初期（在美国停留时间短、英语水平低）以及缺乏个人健康资源（如健康状况不佳和缺乏医疗保险）有关。这些发现揭示了老年移民在广义上使用卫生服务方面所面临的挑战，并有助于确定患者负担的领域和干预途径。
