Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey, USA
Anthropology, University of South Florida College of Arts and Sciences, Tampa, Florida, USA.
Med Humanit. 2021 Sep;47(3):e5. doi: 10.1136/medhum-2019-011669. Epub 2020 Oct 30.
This study addresses the existing gap in literature that ethnographically examines the experiences of Spanish-speaking patients with limited English proficiency in clinical spaces. All of the participants in this study presented to the emergency department (ED) for evaluation of non-urgent health conditions. was employed to explore the challenges that this population face in unique clinical settings like the ED. This relatively new methodology facilitates obtaining nuanced understandings of clinical contexts under study in ways that quantitative approaches and survey research do not. Drawing from the field of medical anthropology and approach of narrative medicine, the collected data are presented through the use of clinical ethnographic vignettes and thick description. The conceptual framework of guided the analysis undertaken in this study. was used as a complementary framework in analysing the emergent themes in the data collected. The results and analysis from this study were used to develop an argument for the consideration of language as a distinct social determinant of health.
本研究解决了文献中的现有空白，即从人种学角度考察了英语水平有限的西班牙语患者在临床环境中的体验。本研究的所有参与者都因非紧急健康状况到急诊部就诊。 被用来探索这一人群在急诊等独特临床环境中所面临的挑战。这种相对较新的方法有助于以定量方法和调查研究无法做到的方式，细致地了解研究中的临床背景。本研究借鉴医学人类学领域和叙事医学方法，通过使用临床人种学案例和详细描述来呈现收集到的数据。 的概念框架指导了本研究中的分析。 被用作分析数据中出现的主题的补充框架。本研究的结果和分析被用来提出一个论点，即考虑语言是健康的一个独特的社会决定因素。
