Jeppesen E Z
Aarhus Universitet, Institut for Epidemiologi og Socialmedicin.
Ugeskr Laeger. 1993 Nov 22;155(47):3849-54.
The object of this investigation was to make a quality-assessment of the care offered to pregnant and delivering Turkish immigrant women by the Danish health care system. The quality-assessment was made as a Medical Audit using data obtained from relevant medical records as well as from semi-structured interviews with the women. Thirteen cases were evaluated among the 65 Turkish women included in the project by having delivered at Aarhus Kommunehospital in the period between April 1 and December 15 1989. In this material no severe obstetrical deficiencies were found, but other types of deficiencies were observed. Bad communication due to insufficient use of trained interpreters and to the health personnel's lack of knowledge about cultural background often resulted in mutual misunderstandings. Most of the women were examined by many different doctors and midwives during pregnancy and delivery. It is demonstrated, that the lack of continuity was an additional strain of these women. It is concluded that the difficulties in communication are potentially dangerous, increasing the risk of delayed or missing obstetrical intervention. The insufficient communication demonstrated causes insecurity and inappropriate care.
本次调查的目的是对丹麦医疗保健系统为怀孕及分娩的土耳其移民妇女提供的护理进行质量评估。此次质量评估采用医疗审计的方式，使用从相关医疗记录以及与这些妇女进行的半结构化访谈中获取的数据。在1989年4月1日至12月15日期间于奥胡斯市立医院分娩的65名土耳其妇女中，评估了13个案例。在这份材料中未发现严重的产科缺陷，但观察到了其他类型的缺陷。由于未充分使用经过培训的口译员以及医护人员缺乏文化背景知识，导致沟通不畅，常常造成相互误解。大多数妇女在孕期和分娩期间接受了许多不同医生和助产士的检查。结果表明，缺乏连续性给这些妇女带来了额外的压力。得出的结论是，沟通困难具有潜在危险性，会增加产科干预延迟或缺失的风险。所显示的沟通不足导致了不安全感和不适当的护理。
