克服糖尿病患者护理中的社会和文化障碍。
Overcoming social and cultural barriers to care for patients with diabetes.
作者信息
Humphry J, Jameson L M, Beckham S
机构信息
Waianae Coast Comprehensive Health Center, Hawaii, USA.
出版信息
West J Med. 1997 Sep;167(3):138-44.
Abstract
We attempted to develop a culturally sensitive alternative approach to diabetes management in a multiethnic, socially disadvantaged community (Waianae, Hawaii). The aims of this 3.5-year demonstration project were to establish regular community-based medical contact with diabetic patients who had a history of nonadherence to treatment regimens and to determine whether this strategy would lead to better health care (particularly improved self-management) in these patients. This community-based, culturally sensitive outreach system of medical follow up dramatically improved the amount and quality of medical care provided to this high-risk subpopulation of patients with diabetes.
摘要
我们试图在一个多民族、社会处境不利的社区（夏威夷怀阿奈）开发一种对文化敏感的糖尿病管理替代方法。这个为期3.5年的示范项目的目标是与有不遵守治疗方案病史的糖尿病患者建立定期的社区医疗联系，并确定这种策略是否会使这些患者获得更好的医疗保健（特别是改善自我管理）。这种基于社区、对文化敏感的医疗随访外展系统显著改善了为这一高危糖尿病患者亚群提供的医疗服务的数量和质量。
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