Spring M A, Ross P J, Etkin N L, Deinard A S
Community-University Health Care Center/Variety Children's Clinic, University of Minnesota Hospital and Clinic, Minneapolis 55455, USA.
Am J Public Health. 1995 Jul;85(7):1015-7. doi: 10.2105/ajph.85.7.1015.
Understanding the sociocultural context of prenatal care underuse by an immigrant population can suggest programmatic changes that result in more effective health care delivery. Ethnographic survey interviews of female Hmong clinic patients conducted in 1987/88 revealed that they objected to biomedical procedures and to being attended by several doctors; the women also reported poor communication with staff as a problem. Clinic reforms implemented in 1989/90 included hiring a nurse-midwife, reducing the number of pelvic examinations, expanding hours of operation, creating a direct telephone line to Hmong interpreters, and producing a Hmong-language prenatal health care education videotape. Women interviewed in 1993 reported a more positive clinic experience.
了解移民群体产前护理利用不足的社会文化背景，有助于提出方案变革建议，从而实现更有效的医疗服务提供。1987/1988年对苗族女性门诊患者进行的人种志调查访谈显示，她们反对生物医学程序以及多位医生同时问诊；这些女性还表示与医护人员沟通不畅是个问题。1989/1990年实施的门诊改革措施包括聘请一名助产护士、减少盆腔检查次数、延长营业时间、设立直通苗族口译员的电话专线，以及制作一盘苗语产前保健教育录像带。1993年接受访谈的女性报告称门诊体验更为积极。
