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非拉丁裔医疗保健提供者对拉丁裔老年临床健康需求的了解和认识。

Non-Latinx Healthcare Provider's Knowledge and Awareness of Latinx Geriatric Clinical Health Needs.

机构信息

Psychology Department, La Esperanza Research, Virginia Commonwealth University, Richmond, Virginia, USA.

VCU Institute for Inclusion, Inquiry and Innovation (iCubed), Richmond, Virginia, USA.

出版信息

Clin Gerontol. 2023 Mar-Apr;46(2):168-179. doi: 10.1080/07317115.2022.2065943. Epub 2022 Apr 28.

Abstract

OBJECTIVES

Due to the exponential growth in the Latinx older adult population, culturally responsive services are needed, especially since most healthcare providers are non-Latinx with limited Spanish or bilingual skills. One place to start is by drawing a formative assessment of the healthcare providers' knowledge and awareness of the healthcare needs of Latinx older adults.

METHODS

Focus groups were conducted to explore the healthcare providers' knowledge and awareness of cultural and structural barriers and facilitators to accessing health care services for Latinx older adults.

RESULTS

Results note that healthcare providers perceived the healthcare needs for Latinx older adults to be underutilized for healthcare services, preventive interventions for healthy diet/lifestyle, and healthcare knowledge. Providers reported Latinx family over-involvement, religiosity, immigration, and language/lack of interpreters as barriers to seeking timely healthcare. Finally, healthcare providers said that family support, the location of healthcare services, and community-based partnerships were all facilitators for seeking healthcare.

CONCLUSIONS

Findings suggest providers' conflicting perspectives toward the Latinx communities.

CLINICAL IMPLICATIONS

Healthcare services can consider implementing trainings for non-Latinx providers to recognize conflicting perspectives and reduce implicit bias toward the Latinx communities.

摘要

目的

由于拉丁裔老年人口的指数级增长,需要提供有文化响应能力的服务,尤其是因为大多数医疗保健提供者都是非拉丁裔,他们西班牙语或双语技能有限。可以从评估医疗保健提供者对拉丁裔老年人口的医疗需求的知识和意识开始。

方法

进行焦点小组讨论,以探讨医疗保健提供者对获取拉丁裔老年人口医疗保健服务的文化和结构障碍及促进因素的了解和认识。

结果

结果表明,医疗保健提供者认为拉丁裔老年人口对医疗保健服务的需求未得到充分利用,对健康饮食/生活方式的预防性干预措施和医疗保健知识的需求也未得到充分利用。提供者报告说,拉丁裔家庭过度参与、宗教信仰、移民以及语言/缺乏口译员是寻求及时医疗保健的障碍。最后,医疗保健提供者表示,家庭支持、医疗服务的位置以及基于社区的伙伴关系都是寻求医疗保健的促进因素。

结论

研究结果表明,提供者对拉丁裔社区存在矛盾的看法。

临床意义

医疗保健服务可以考虑为非拉丁裔提供者提供培训,以认识到相互矛盾的观点,并减少对拉丁裔社区的隐性偏见。

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