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黑人男性的医疗保健体验:个体面临的挑战、变革建议以及虚拟代理技术协助黑人男性进行健康管理的潜在效用。

Black Men's Experiences With Health care: Individuals' Accounts of Challenges, Suggestions for Change, and the Potential Utility of Virtual Agent Technology to Assist Black Men With Health Management.

机构信息

The University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Boston University School of Medicine, Boston, Massachusetts, USA.

出版信息

Qual Health Res. 2021 Aug;31(10):1772-1785. doi: 10.1177/10497323211013323. Epub 2021 Jun 7.

DOI:10.1177/10497323211013323
PMID:34092141
Abstract

Black men have the highest age-adjusted death rate of any major race-gender group in America. Understanding their perceived barriers to accessing health care may benefit future interventions working to increase Black men's health care engagement. Data collected from focus groups of Black men( = 67), key informant interviews( = 12), and interviews( = 5) with participants who pilot tested an online health education system (called "Gabe") were analyzed to explore their health care experiences and how computer-based health programs might better assist Black men. Concerns pertaining to health care systems' failure to recognize the diversity among Black men, and physicians' lack of sociocultural awareness about the challenges they regularly face, were most salient. Building trust with providers was cited as being central to engagement, with Gabe users perceiving the system to be both trustworthy and accessible. Participants reported an openness to technology assisting with health management and provided suggestions of how online systems can meet the needs of Black men.

摘要

黑人男性的年龄调整死亡率在美国所有主要种族-性别群体中最高。了解他们获得医疗保健的感知障碍可能有助于未来的干预措施,以增加黑人男性的医疗保健参与度。从黑人男性焦点小组(= 67)、关键知情人访谈(= 12)和参与试点在线健康教育系统(称为“Gabe”)的参与者访谈(= 5)中收集的数据进行了分析,以探讨他们的医疗保健经验以及基于计算机的健康计划如何更好地帮助黑人男性。最突出的问题是医疗保健系统未能认识到黑人男性的多样性,以及医生对他们经常面临的挑战缺乏社会文化意识。与提供者建立信任被认为是参与的核心,Gabe 用户认为该系统既值得信赖又易于使用。参与者表示愿意接受技术协助进行健康管理,并就在线系统如何满足黑人男性的需求提出了建议。

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