Zambrana R E, Ell K, Dorrington C, Wachsman L, Hodge D
College of Nursing and Health Sciences, George Mason University, Fairfax, VA 22030-4444.
Health Soc Work. 1994 May;19(2):93-102. doi: 10.1093/hsw/19.2.93.
Consistent empirical evidence has shown that low-income Latino populations tend to underutilize health care services and do not have a usual source of care. This article identifies and describes the sociodemographic and psychosocial characteristics of Latino immigrant mothers who use emergency pediatric services, assesses the association of maternal characteristics with perceived barriers to care, and examines key predictors of total number of pediatric visits in a year. A survey was carried out to obtain data on reason for emergency room visit, usual sources of care, child's health, and mother's physical and psychosocial health. The results revealed a clear pattern of delayed care for acute problems in the children, a high number of reported barriers to pediatric care, and high mental distress reported by mothers.
一致的实证证据表明,低收入拉丁裔人群往往未充分利用医疗保健服务,且没有固定的医疗服务来源。本文确定并描述了使用儿科急诊服务的拉丁裔移民母亲的社会人口学和心理社会特征,评估了母亲特征与感知到的就医障碍之间的关联,并研究了一年中儿科就诊总次数的关键预测因素。开展了一项调查,以获取有关急诊室就诊原因、常规医疗服务来源、儿童健康状况以及母亲身体和心理社会健康状况的数据。结果显示,儿童急性问题的护理存在明显延迟模式,儿科护理存在大量报告的障碍,母亲报告的心理困扰程度较高。