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海地裔患者的结构能力介绍:历史、文化和获得医疗服务的途径。

An Introduction to Structural Competency for Haitian-Identified Patients: History, Culture, and Access to Care.

机构信息

Assistant Professor, Department of Obstetrics and Gynecology, SUNY Downstate Health Sciences University.

First-Year Medical Student, Albany Medical College.

出版信息

MedEdPORTAL. 2021 Dec 27;17:11207. doi: 10.15766/mep_2374-8265.11207. eCollection 2021.

DOI:10.15766/mep_2374-8265.11207
PMID:35018304
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8710435/
Abstract

INTRODUCTION

The Haitian population within the US represents the largest diaspora outside of Haiti, with most Haitians residing in major urban communities. Despite clear differences in health outcomes specific to Haitians, the community has traditionally been aggregated into the general Black population. To address specific health disparities, this workshop was designed to distinguish and elaborate on the health care problems affecting Haitians.

METHODS

We created an interactive 60-minute workshop including a PowerPoint presentation, two case presentations, and a 5-minute informational video to bring awareness of the historical perspectives impacting Haitian/Haitian American health, access to care, and health care disparities to providers. Knowledge was assessed by pre- and postworkshop evaluation forms. The module was aimed at health care professional learners.

RESULTS

Seventy-four people with diverse ethnoracial identities, including medical students, residents, academic faculty, physicians, nonmedical graduate students, and health care staff and administrators, attended three workshops. All learning objectives were met, with pre- and postworkshop data indicating a statistically significant increase in participants' reported confidence. Workshop attendees commented positively on the group discussion component, the workshop's interactive nature, the opportunity to apply taught knowledge to case presentations, and the historical context provided.

DISCUSSION

As the number of Haitian immigrants continues to rise throughout US urban communities, providers must increase their culture competency in training and delivery to improve care for a major population. This module can help better prepare health care providers and trainees to offer competent care to Haitian/Haitian American patients.

摘要

简介

美国境内的海地人群代表了海地以外最大的侨民群体,其中大多数海地人居住在主要的城市社区。尽管海地人在健康结果方面存在明显差异,但该群体传统上被归入一般的黑人人群中。为了解决特定的健康差距问题,本次研讨会旨在区分和详细说明影响海地人的医疗保健问题。

方法

我们创建了一个互动式 60 分钟的研讨会,其中包括一个 PowerPoint 演示文稿、两个病例介绍和一个 5 分钟的信息视频,以提高医疗保健提供者对影响海地人/海地裔美国人健康、医疗保健可及性和医疗保健差距的历史观点的认识。通过会前和会后的评估表来评估知识。该模块面向医疗保健专业学习者。

结果

74 人参加了三个研讨会,他们具有不同的种族身份,包括医学生、住院医师、学术教师、医生、非医学研究生以及医疗保健工作人员和管理人员。所有学习目标都已达成,会前和会后的数据表明,参与者报告的信心有统计学上的显著提高。研讨会参加者对小组讨论部分、研讨会的互动性质、将所学知识应用于病例介绍的机会以及提供的历史背景给予了积极的评价。

讨论

随着海地移民在美国城市社区的数量不断增加,医疗保健提供者必须在培训和服务中提高其文化能力,以改善对主要人群的护理。这个模块可以帮助医疗保健提供者和受训者更好地准备为海地人/海地裔美国人患者提供有能力的护理。

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本文引用的文献

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Taking Care of the Puerto Rican Patient: Historical Perspectives, Health Status, and Health Care Access.照顾波多黎各患者:历史视角、健康状况和医疗保健可及性。
MedEdPORTAL. 2020 Oct 7;16:10984. doi: 10.15766/mep_2374-8265.10984.
2
Structural Competency: Curriculum for Medical Students, Residents, and Interprofessional Teams on the Structural Factors That Produce Health Disparities.结构性胜任力:医学生、住院医师和多专业团队的课程,涉及产生健康差异的结构性因素。
MedEdPORTAL. 2020 Mar 13;16:10888. doi: 10.15766/mep_2374-8265.10888.
3
Social and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles.美国城市印第安人和阿拉斯加原住民健康的社会与结构决定因素:洛杉矶的案例研究
MedEdPORTAL. 2019 May 15;15:10825. doi: 10.15766/mep_2374-8265.10825.
4
Structural racism and health inequities in the USA: evidence and interventions.美国的结构性种族主义和健康不平等:证据与干预。
Lancet. 2017 Apr 8;389(10077):1453-1463. doi: 10.1016/S0140-6736(17)30569-X.
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Structural competency: theorizing a new medical engagement with stigma and inequality.结构能力:理论化一种新的医学方法,以应对污名和不平等。
Soc Sci Med. 2014 Feb;103:126-133. doi: 10.1016/j.socscimed.2013.06.032.
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Knowledge, attitudes, and beliefs regarding HPV vaccination: ethnic and cultural differences between African-American and Haitian immigrant women.关于 HPV 疫苗接种的知识、态度和信念:非裔美国人和海地移民妇女之间的种族和文化差异。
Womens Health Issues. 2012 Nov-Dec;22(6):e571-9. doi: 10.1016/j.whi.2012.09.003.
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Use of HIV primary care by HIV-positive Haitian immigrants in Miami, Florida.佛罗里达州迈阿密的海地裔艾滋病毒阳性移民对艾滋病毒初级护理的利用情况。
AIDS Care. 2011 Apr;23(4):486-93. doi: 10.1080/09540121.2010.516339.
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Social determinants of mental health treatment among Haitian, African American, and White youth in community health centers.社区卫生中心中海地裔、非裔美国人和白人青少年心理健康治疗的社会决定因素。
J Health Care Poor Underserved. 2010 May;21(2 Suppl):32-48. doi: 10.1353/hpu.0.0297.
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Commentary: linking cultural competence training to improved health outcomes: perspectives from the field.评论:将文化能力培训与改善健康结果联系起来:来自该领域的观点。
Acad Med. 2010 Apr;85(4):583-5. doi: 10.1097/ACM.0b013e3181d2b2f3.
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Barriers to cervical cancer screening among Haitian immigrant women in Little Haiti, Miami.迈阿密小海地地区海地移民女性宫颈癌筛查的障碍
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