少数民族健康服务的文化胜任性策略
|
摘要
文化胜任性是减少因民族文化之间的差异而导致可获得的健康服务质量不高的策略。健康服务的文化胜任性策略包括组织、结构和临床干预等三个要素。健康行为的文化差异有可能使少数民族居民在寻求健康服务时存在一定的社会文化心理阻碍。为了使少数民族群体获得更优质的健康服务,本文提出了关于文化胜任性策略的几点建议。
Cultural competence is a strategy to reduce the quality of health services that are not available due to differences between national cultures. Cultural competence strategies for health services include three elements: organization,structure,and clinical intervention. Cultural differences in health behaviors may cause minority residents to have certain sociocultural psychological barriers in seeking health services.In order to minority groups to obtain better health services,this paper puts forward some suggestions on cultural competence strategies.
Cultural competence is a strategy to reduce the quality of health services that are not available due to differences between national cultures. Cultural competence strategies for health services include three elements: organization,structure,and clinical intervention. Cultural differences in health behaviors may cause minority residents to have certain sociocultural psychological barriers in seeking health services.In order to minority groups to obtain better health services,this paper puts forward some suggestions on cultural competence strategies.
引文
[1]Jr S J H,Tilley J L,Jones E O,et al. The Contribution of Cultural Competence to EvidenceBased Care for Ethnically Diverse Populations[J]. Social Science Electronic Publishing, 2014,(10):305.
[2] Betancourt J R,Owusu Ananeh-Firempong I I. Defining Cultural Competence:A Practical Framework for Addressing Racial/Ethnic Disparities in Health and Health Care[J]. Public Health Reports,2003,(4):293―302.
[3]Lavizzomourey R J,Mackenzie E. Cultural competence-an essential hybrid for delivering high quality care in the 1990's and beyond.[J]. Transactions of the American Clinical&Climatological Association,1995,(107):226―35; discussion 236―7.
[4]Green A R,Carrillo J E,Betancourt J R. Why the disease-based model of medicine fails our patients.[J]. Western Journal of Medicine,2002,(2):141―3.
[5]Evans R M. Increasing minority representation in health care management.[J]. Health Forum Journal,1999,(6):22.
[6]Saha S,Taggart S H,Komaromy M,et al. Do patients choose physicians of their own race?[J]. Health Affairs,2000,(4):76.
[7]Hornberger J,Wilson S R. Bridging language and cultural barriers between physicians[J]. Public Health Reports,1997,(5):410―417.
[8]Berger J T. Culture and ethnicity in clinical care[J]. Archives of Internal Medicine,1998,(19):2085.
[9]Cooper-Patrick L,Gallo J J,Gonzales J J,et al. Race,gender,and partnership in the patientphysician relationship[J]. Jama,1999,(6):583.
[10]Brach C,Fraser I. Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model.[J]. Medical Care Research&Review Mcrr,2000,57 Suppl 1(suppl_1):181.
[11]Van R M,Burke J. The effect of patient race and socio-economic status on physicians'perceptions of patients.[J]. Social Science&Medicine,2000,(6):813.
[12]陈先波,冯锐,刘静,等.少数民族地区老年人健康状况调查[J].中国卫生质量管理,2011,(2):79―83.
[13]金新政,陈先波.少数民族地区老年妇女健康状况调查[J].中国妇幼保健,2011,(5):716―719.
[14]余成贵,韦妙群,熊翠欢. 2008―2012年汉族与少数民族大学新生健康状况比较分析[J].保健医学研究与实践,2014,(6):17―19.
[15]胡健,武飚,武学丽,等.苗族村寨留守老年患者门诊服务利用及影响因素分析[J].中国公共卫生,2012,(9):1176―1178.
[16]柏文珍,马馨,郭玲.峨山彝族自治县儿童死亡监测分析及干预措施探讨[J].中国妇幼卫生杂志,2016,(4):75―77.
[17]俞跃萍.对促进云南省边远贫困地区孕产妇分娩安全的思考[J].卫生软科学,2012,(4):386―388.
[18]杨云波,王爱英.边疆少数民族地区社区卫生服务的现状及对策[J].中国社区医师(综合版),2005,(12):106―107.
[19]梁丽娟,米友军,戴恩来,等.甘肃省少数民族地区居民就医行为研究[J].现代预防医学,2009,(6):1071―1073.
[20]左克源.少数民族地区农村医疗保障现状及问题研究[J].贵州民族研究,2014,(9):13―16.
[21]任光祥,刘岚,佘福强,等.贵州少数民族地区卫生人力资源现状及卫生服务质量、效率分析[J].中国卫生经济,2013,(6):40―43.
[22]李杰.对少数民族地区医疗状况的分析——以甘南州为例[J].甘肃农业,2007,(8):72―74.
[23]冉晓鸣.贵州省施秉县农村留守老年人卫生服务利用研究[D].贵阳:贵州财经大学硕士论文,2012.
[2] Betancourt J R,Owusu Ananeh-Firempong I I. Defining Cultural Competence:A Practical Framework for Addressing Racial/Ethnic Disparities in Health and Health Care[J]. Public Health Reports,2003,(4):293―302.
[3]Lavizzomourey R J,Mackenzie E. Cultural competence-an essential hybrid for delivering high quality care in the 1990's and beyond.[J]. Transactions of the American Clinical&Climatological Association,1995,(107):226―35; discussion 236―7.
[4]Green A R,Carrillo J E,Betancourt J R. Why the disease-based model of medicine fails our patients.[J]. Western Journal of Medicine,2002,(2):141―3.
[5]Evans R M. Increasing minority representation in health care management.[J]. Health Forum Journal,1999,(6):22.
[6]Saha S,Taggart S H,Komaromy M,et al. Do patients choose physicians of their own race?[J]. Health Affairs,2000,(4):76.
[7]Hornberger J,Wilson S R. Bridging language and cultural barriers between physicians[J]. Public Health Reports,1997,(5):410―417.
[8]Berger J T. Culture and ethnicity in clinical care[J]. Archives of Internal Medicine,1998,(19):2085.
[9]Cooper-Patrick L,Gallo J J,Gonzales J J,et al. Race,gender,and partnership in the patientphysician relationship[J]. Jama,1999,(6):583.
[10]Brach C,Fraser I. Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model.[J]. Medical Care Research&Review Mcrr,2000,57 Suppl 1(suppl_1):181.
[11]Van R M,Burke J. The effect of patient race and socio-economic status on physicians'perceptions of patients.[J]. Social Science&Medicine,2000,(6):813.
[12]陈先波,冯锐,刘静,等.少数民族地区老年人健康状况调查[J].中国卫生质量管理,2011,(2):79―83.
[13]金新政,陈先波.少数民族地区老年妇女健康状况调查[J].中国妇幼保健,2011,(5):716―719.
[14]余成贵,韦妙群,熊翠欢. 2008―2012年汉族与少数民族大学新生健康状况比较分析[J].保健医学研究与实践,2014,(6):17―19.
[15]胡健,武飚,武学丽,等.苗族村寨留守老年患者门诊服务利用及影响因素分析[J].中国公共卫生,2012,(9):1176―1178.
[16]柏文珍,马馨,郭玲.峨山彝族自治县儿童死亡监测分析及干预措施探讨[J].中国妇幼卫生杂志,2016,(4):75―77.
[17]俞跃萍.对促进云南省边远贫困地区孕产妇分娩安全的思考[J].卫生软科学,2012,(4):386―388.
[18]杨云波,王爱英.边疆少数民族地区社区卫生服务的现状及对策[J].中国社区医师(综合版),2005,(12):106―107.
[19]梁丽娟,米友军,戴恩来,等.甘肃省少数民族地区居民就医行为研究[J].现代预防医学,2009,(6):1071―1073.
[20]左克源.少数民族地区农村医疗保障现状及问题研究[J].贵州民族研究,2014,(9):13―16.
[21]任光祥,刘岚,佘福强,等.贵州少数民族地区卫生人力资源现状及卫生服务质量、效率分析[J].中国卫生经济,2013,(6):40―43.
[22]李杰.对少数民族地区医疗状况的分析——以甘南州为例[J].甘肃农业,2007,(8):72―74.
[23]冉晓鸣.贵州省施秉县农村留守老年人卫生服务利用研究[D].贵阳:贵州财经大学硕士论文,2012.