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与缅甸患者合作:了解历史和文化背景以改善医疗服务可及性和健康状况。

Working With Burmese Patients: Understanding Historical and Cultural Contexts to Improve Health Care Access and Health Status.

作者信息

Wang Tiffany, Stella Alice, Jawiche John, Jiang Linda, Crossen Kayla, Scallon Sonia, Sama Jalin, Eggan Branden, Mason Hyacinth R C

机构信息

Third-Year Medical Student, Albany Medical College.

First-Year Medical Student, West Virginia School of Osteopathic Medicine.

出版信息

MedEdPORTAL. 2022 Jun 14;18:11260. doi: 10.15766/mep_2374-8265.11260. eCollection 2022.

DOI:10.15766/mep_2374-8265.11260
PMID:35774149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9195358/
Abstract

INTRODUCTION

Burmese patients resettled in the United States as refugees constitute one of the country's largest refugee populations. As health inequities within the wider Asian and Asian American population have garnered more attention, medical professionals have worked to better understand how to provide care to Burmese and Burmese American patients. This workshop addresses the pressing need to provide culturally responsive care to this growing population.

METHODS

Our interactive 60-minute workshop was developed to increase the knowledge and confidence of health care providers and trainees regarding the specific needs of Burmese communities in the United States. It was implemented once in person and twice virtually. The workshop included a PowerPoint presentation and case studies. Pre- and postworkshop evaluation forms assessed the effectiveness of the module.

RESULTS

The workshop's 70 attendees included an interdisciplinary group of medical students, academic faculty, graduate students, and health care staff. Following module completion, all learning objectives were met. Paired-samples tests revealed significant increases in average number of correct responses for all learning objectives.

DISCUSSION

This module is part of a larger initiative to provide current and future health care providers with information to empower them to supply culturally responsive care to Burmese and Burmese American patients and their families. We offer recommendations for improving care for this patient population on individual, provider, and systemic levels. We hope that this module will inspire opportunities to advocate for change in policy and health care/research funding for Burmese and Burmese American patients.

摘要

引言

作为难民在美国重新定居的缅甸患者构成了该国最大的难民群体之一。随着更广泛的亚裔和亚裔美国人社区内的健康不平等问题受到更多关注,医学专业人员一直在努力更好地了解如何为缅甸裔和缅裔美国患者提供护理。本次研讨会旨在满足为这一不断增长的群体提供具有文化适应性护理的迫切需求。

方法

我们开发了一个60分钟的互动式研讨会,以提高医疗服务提供者和学员对美国缅甸社区特殊需求的认识和信心。该研讨会进行了一次面对面授课和两次线上授课。研讨会包括一个PowerPoint演示文稿和案例研究。课前和课后评估表评估了该模块的有效性。

结果

该研讨会的70名参与者包括医学生、学术教员、研究生和医护人员等跨学科群体。在完成该模块后,所有学习目标均已达成。配对样本测试显示,所有学习目标的正确回答平均数量均有显著增加。

讨论

该模块是一项更大倡议的一部分,旨在为当前和未来的医疗服务提供者提供信息,使他们有能力为缅甸裔和缅裔美国患者及其家庭提供具有文化适应性的护理。我们从个人、提供者和系统层面为改善对这一患者群体的护理提供了建议。我们希望该模块将激发机会,推动针对缅甸裔和缅裔美国患者的政策以及医疗保健/研究资金方面的变革。

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Challenges in health-care service use among Burmese refugees: A grounded theory approach.缅甸难民在使用医疗保健服务方面的挑战:扎根理论方法。
Soc Work Health Care. 2019 Aug;58(7):665-684. doi: 10.1080/00981389.2019.1616244. Epub 2019 May 23.
3
Blood Lead Levels Among Resettled Refugee Children in Select US States, 2010-2014.2010-2014 年美国部分州重新安置难民儿童的血铅水平。
Pediatrics. 2019 May;143(5). doi: 10.1542/peds.2018-2591.
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From Modules to MOOCs: Application of the Six-Step Approach to Online Curriculum Development for Medical Education.从模块到 MOOCs:六步方法在医学教育在线课程开发中的应用。
Acad Med. 2019 May;94(5):678-685. doi: 10.1097/ACM.0000000000002580.
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Primary Care for Refugees: Challenges and Opportunities.难民的初级保健:挑战与机遇
Am Fam Physician. 2017 Jul 15;96(2):112-120.
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Effectiveness of cross-cultural education for medical residents caring for burmese refugees.针对照顾缅甸难民的住院医生开展跨文化教育的效果。
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What are the barriers to access to mental healthcare and the primary needs of asylum seekers? A survey of mental health caregivers and primary care workers.寻求庇护者获得心理医疗保健的障碍及主要需求是什么?一项针对心理健康护理人员和初级保健工作者的调查。
BMC Psychiatry. 2016 Sep 29;16(1):336. doi: 10.1186/s12888-016-1048-6.
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"The Pain of Exile": What Social Workers Need to Know about Burmese Refugees.《流亡之痛》:社会工作者需要了解的缅甸难民情况
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