Department of Psychology, Institute for the Study of University Pedagogy, University of Toronto Mississauga, 3359 Mississauga Rd, L5L 1C6, Mississauga, ON, Canada.
Department of Applied Psychology and Human Development, Ontario Institute for Studies in Education, University of Toronto, Toronto, Canada.
Int J Health Econ Manag. 2024 Sep;24(3):407-418. doi: 10.1007/s10754-023-09359-8. Epub 2023 Jun 28.
A primary consideration in rehabilitation is the compatibility between clinicians and patients, where cultural diversity is a defining feature for both. The intricacies of cultural considerations in patient-clinician matching are heightened in areas of conflict and civil unrest. This paper presents three perspectives of the significance of cultural considerations in such assignments: patient-centred approach - prioritizing patients' preferences; professional-centred approach - clinicians' safety, social-emotional, and training needs; and utilitarian approach - what is best for the majority. A case study from an Israeli rehabilitation clinic is presented to exhibit the multifaceted considerations in patient-clinician matching within areas of conflict and civil unrest. The reconciliation of these three approaches in the context of cultural diversity is discussed, suggesting the benefit of a case-by-case strategy involving combinations of the three. Further research could examine how this might feasibly and beneficially optimize outcomes for all in culturally diverse societies in times of unrest.
康复治疗的首要考虑因素是临床医生和患者之间的兼容性，而文化多样性是两者的决定性特征。在冲突和内乱地区，患者与临床医生匹配中的文化考虑因素的复杂性更高。本文从三个角度介绍了文化考虑因素在这类任务中的重要性：以患者为中心的方法——优先考虑患者的偏好；以专业为中心的方法——临床医生的安全、社会情感和培训需求；以及功利主义方法——什么对大多数人最好。本文从以色列一家康复诊所的案例研究出发，展示了在冲突和内乱地区患者与临床医生匹配中的多方面考虑因素。本文讨论了这三种方法在文化多样性背景下的协调，并提出了一种基于案例的策略，该策略涉及三种方法的组合，这可能是有益的。进一步的研究可以探讨如何在动荡时期，以一种可行和有益的方式，为所有处于文化多样性社会中的人优化结果。
