Rodriguez M A, Bauer H M, Flores-Ortiz Y, Szkupinski-Quiroga S
Department of Family and Community Medicine, University of California San Francisco, USA.
J Fam Pract. 1998 Oct;47(4):309-11.
Domestic violence is one of today's most serious health issues. Abused Latina and Asian immigrant women face unique barriers to the discussion of abuse with health care providers. This research was undertaken to identify any provider-related factors that may affect patient-provider communication for these women.
Qualitative data were collected using semistructured focus group interviews with abused Latina and Asian immigrant women. Participants were recruited through urban community-based organizations. Twenty-eight immigrant women with histories of domestic violence participated in four focus groups: two groups of Latina women and two groups of Asian women. Iterative readings by independent researchers identified provider-related factors affecting patient-provider communication.
The study participants identified the provider behaviors that demonstrate trust, compassion, and understanding as elements that improve patient-provider communication. In addition, participants wanted providers to initiate discussions about partner abuse.
Improved understanding of factors that may affect abused immigrant patients' communication may assist health care providers in offering meaningful support and assistance to these patients. Providers, administrators, policy makers, and educators should consider these factors when developing policy, protocols, and educational curricula for a variety of health care settings.
家庭暴力是当今最严重的健康问题之一。受虐待的拉丁裔和亚裔移民女性在与医疗服务提供者讨论虐待问题时面临独特障碍。开展这项研究是为了确定可能影响这些女性患者与提供者沟通的任何与提供者相关的因素。
通过对受虐待的拉丁裔和亚裔移民女性进行半结构化焦点小组访谈收集定性数据。参与者通过城市社区组织招募。28名有家庭暴力史的移民女性参加了四个焦点小组：两组拉丁裔女性和两组亚裔女性。独立研究人员的反复阅读确定了影响患者与提供者沟通的与提供者相关的因素。
研究参与者将表现出信任、同情和理解的提供者行为确定为改善患者与提供者沟通的要素。此外，参与者希望提供者主动讨论伴侣虐待问题。
更好地理解可能影响受虐待移民患者沟通的因素，可能有助于医疗服务提供者为这些患者提供有意义的支持和帮助。在为各种医疗环境制定政策、协议和教育课程时，提供者、管理人员、政策制定者和教育工作者应考虑这些因素。
