Webb E
Department of Child Health, University of Wales College of Medicine, Health Park, Cardiff.
Arch Dis Child. 1996 Mar;74(3):264-7. doi: 10.1136/adc.74.3.264.
Concentrating on exotica and cultural differences merely allows commissioners and providers to ignore general health needs and blame the communities themselves when they receive poor quality services. We now have to move forward if we are to achieve an improvement in their health care. We are not talking of an insignificant minority, but nearly one in 10 of all children. Clearly real differences in health needs do exist, for example haemoglobinopathy associated illness; these need to be addressed and adequate provision made. It is in meeting the general needs of minority ethnic children that we face the greatest challenge. These are no different to those of the white ethnic majority. However, meeting them may require different--sometimes radically different--response strategies on behalf of both purchasers and providers of health care to children, supported by appropriate training, audit, and research.
仅仅关注异国风情和文化差异只会让医疗服务的委托方和提供方忽视总体健康需求，并且在社区获得劣质服务时指责社区自身。如果我们要改善他们的医疗保健状况，现在就必须向前迈进。我们谈论的可不是微不足道的少数群体，而是几乎每十个孩子中就有一个。显然，健康需求确实存在真正的差异，例如与血红蛋白病相关的疾病；这些需要得到解决并提供足够的服务。在满足少数族裔儿童的总体需求方面，我们面临着最大的挑战。这些需求与白人多数族裔的需求并无不同。然而，要满足这些需求，医疗保健的购买方和提供方可能需要采取不同的——有时是截然不同的——应对策略，并辅以适当的培训、审计和研究。
