Moreno Francisco A, Chhatwal Jasleen
Department of Psychiatry, University of Arizona College of Medicine-Tucson, Tucson.
Focus (Am Psychiatr Publ). 2020 Jan;18(1):2-7. doi: 10.1176/appi.focus.20190029. Epub 2020 Jan 24.
The increasing diversity of America requires a workforce that is able to serve the mental health needs of individuals from multiple backgrounds, with a culturally proficient, inclusive, and affirming approach. To accomplish this, clinicians must be mindful of the multiple challenges presented by social determinants of mental health and access to care; the role of culture in wellness protection, mental illness expression, symptom attribution, and help seeking; the impact of provider factors, such as availability and cultural and linguistic congruence and proficiency; and the interaction of clinician and patient, who are with increasing frequency members of differing identity groups. The authors highlight the central role of clinical providers, academic institutions, and service organizations to advance health equity through training and commitment to increase high-quality services that are available, accessible, affordable, and acceptable, improving the care of all individuals.
美国日益增长的多样性要求有一支能够以文化精通、包容和肯定的方式满足来自多种背景的个人心理健康需求的劳动力队伍。为实现这一目标,临床医生必须关注心理健康的社会决定因素和获得护理所带来的多重挑战;文化在健康保护、精神疾病表现、症状归因和求助行为中的作用;提供者因素的影响,如可及性、文化和语言一致性及熟练程度;以及临床医生和患者之间的互动,他们越来越多地来自不同身份群体。作者强调了临床提供者、学术机构和服务组织在通过培训和致力于增加可获得、可及、可负担和可接受的高质量服务来促进健康公平方面的核心作用,从而改善所有人的护理。