Matching patients with therapists in culturally diverse rehabilitation services during civil unrest.

IF 1.5 4区 经济学 Q3 BUSINESS, FINANCE International Journal of Health Economics and Management Pub Date : 2024-09-01 Epub Date: 2023-06-28 DOI:10.1007/s10754-023-09359-8
Stuart B Kamenetsky, Vanessa Chen, Eyal Heled
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Abstract

A primary consideration in rehabilitation is the compatibility between clinicians and patients, where cultural diversity is a defining feature for both. The intricacies of cultural considerations in patient-clinician matching are heightened in areas of conflict and civil unrest. This paper presents three perspectives of the significance of cultural considerations in such assignments: patient-centred approach - prioritizing patients' preferences; professional-centred approach - clinicians' safety, social-emotional, and training needs; and utilitarian approach - what is best for the majority. A case study from an Israeli rehabilitation clinic is presented to exhibit the multifaceted considerations in patient-clinician matching within areas of conflict and civil unrest. The reconciliation of these three approaches in the context of cultural diversity is discussed, suggesting the benefit of a case-by-case strategy involving combinations of the three. Further research could examine how this might feasibly and beneficially optimize outcomes for all in culturally diverse societies in times of unrest.

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在内乱期间,为病人和治疗师匹配不同文化背景的康复服务。
康复治疗的一个主要考虑因素是临床医生和患者之间的兼容性,而文化多样性是两者的一个显著特征。在冲突和内乱地区,病人与临床医生配对中的文化考量更加错综复杂。本文从三个角度阐述了文化因素在此类分配中的重要性:以患者为中心的方法--优先考虑患者的偏好;以专业人员为中心的方法--临床医生的安全、社会情感和培训需求;以及功利主义的方法--对大多数人来说什么是最好的。本文介绍了以色列一家康复诊所的案例研究,以展示在冲突和内乱地区患者与临床医生匹配时的多方面考虑。讨论了在文化多样性背景下这三种方法的协调问题,提出了将这三种方法结合起来的个案策略的益处。进一步的研究可以探讨在动乱时期,在文化多元化的社会中,如何可行并有益地优化所有人的治疗效果。
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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
18
期刊介绍: The focus of the International Journal of Health Economics and Management is on health care systems and on the behavior of consumers, patients, and providers of such services. The links among management, public policy, payment, and performance are core topics of the relaunched journal. The demand for health care and its cost remain central concerns. Even as medical innovation allows providers to improve the lives of their patients, questions remain about how to efficiently deliver health care services, how to pay for it, and who should pay for it. These are central questions facing innovators, providers, and payers in the public and private sectors. One key to answering these questions is to understand how people choose among alternative arrangements, either in markets or through the political process. The choices made by healthcare managers concerning the organization and production of that care are also crucial. There is an important connection between the management of a health care system and its economic performance. The primary audience for this journal will be health economists and researchers in health management, along with the larger group of health services researchers. In addition, research and policy analysis reported in the journal should be of interest to health care providers, managers and policymakers, who need to know about the pressures facing insurers and governments, with consequences for regulation and mandates. The editors of the journal encourage submissions that analyze the behavior and interaction of the actors in health care, viz. consumers, providers, insurers, and governments. Preference will be given to contributions that combine theoretical with empirical work, evaluate conflicting findings, present new information, or compare experiences between countries and jurisdictions. In addition to conventional research articles, the journal will include specific subsections for shorter concise research findings and cont ributions to management and policy that provide important descriptive data or arguments about what policies follow from research findings. The composition of the editorial board is designed to cover the range of interest among economics and management researchers.Officially cited as: Int J Health Econ ManagFrom 2001 to 2014 the journal was published as International Journal of Health Care Finance and Economics. (Articles published in Vol. 1-14 officially cited as: Int J Health Care Finance Econ)
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