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患者故事的力量:一种文化谦逊的实践。

The power of a patient's story: a practice in cultural humility.

作者信息

Schmidt Randall B

机构信息

School of Medicine, University of Kansas Medical Center, Kansas City, KS, United States.

出版信息

Front Glob Womens Health. 2025 Mar 11;6:1498385. doi: 10.3389/fgwh.2025.1498385. eCollection 2025.

Abstract

As the United States grows increasingly diverse, healthcare providers will encounter changing patient populations. In obstetrics, patients often come with personal delivery priorities shaped by different life experiences, cultural expectations and personal perspectives, which may differ from those of their provider. Invariably, cultural conflicts can occur, especially when patient and provider priorities do not align. This article shares the story of a Congolese refugee mother within an urban metro area who faced such conflict when delivery preferences could not be accommodated. Highlighting communal apprehension to Cesarean delivery within the Congolese community, this piece also emphasizes how obstetrics providers can improve care for culturally diverse patients. In addition, this piece also discusses an American College of Obstetricians and Gynecologists (ACOG) committee opinion, cultural humility and its incorporation into future curriculum for medical education, and the author's personal reflection of this story's impact.

摘要

随着美国的人口构成日益多样化,医疗服务提供者将面对不断变化的患者群体。在产科领域,患者常常带着由不同生活经历、文化期望和个人观点所塑造的个人分娩优先事项前来就医,而这些优先事项可能与医疗服务提供者的不同。文化冲突不可避免地会发生,尤其是当患者和医疗服务提供者的优先事项不一致时。本文讲述了一位城市大都市区的刚果难民母亲的故事,她在分娩偏好无法得到满足时面临了这样的冲突。本文强调了刚果社区对剖宫产的集体担忧,同时也强调了产科医疗服务提供者如何能够改善对文化背景各异的患者的护理。此外,本文还讨论了美国妇产科医师学会(ACOG)的委员会意见、文化谦逊以及将其纳入未来医学教育课程的情况,以及作者对这个故事影响的个人反思。

相似文献

1
The power of a patient's story: a practice in cultural humility.患者故事的力量:一种文化谦逊的实践。
Front Glob Womens Health. 2025 Mar 11;6:1498385. doi: 10.3389/fgwh.2025.1498385. eCollection 2025.
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Cultural Considerations in Caring for Refugees and Immigrants.照顾难民和移民的文化考虑。
Prim Care. 2021 Mar;48(1):35-43. doi: 10.1016/j.pop.2020.09.005. Epub 2020 Nov 26.

本文引用的文献

1
Intersectionality in Medical Education: A Meta-Narrative Review.医学教育中的交叉性:元叙述性综述。
Perspect Med Educ. 2023 Nov 7;12(1):517-528. doi: 10.5334/pme.1161. eCollection 2023.
6
Cultural Competence and Humility.文化能力与谦逊。
Dermatol Clin. 2023 Apr;41(2):279-283. doi: 10.1016/j.det.2022.10.004. Epub 2023 Feb 1.

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