在不同语言的安全网初级保健环境中的患者体验:质性研究。

Q2 Medicine Journal of Participatory Medicine Pub Date : 2018-01-22 DOI:10.2196/jopm.9229
Rachel L Berkowitz, Nimeka Phillip, Lyn Berry, Irene H Yen
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引用次数: 2

摘要

背景:以患者为中心的医疗之家模式旨在改善患者体验和初级保健质量。在美国北加州的城市安全网设置中,由于患者社区的多样性和住院医师计划的护理连续性影响,这些期望的结果变得复杂。目的:我们研究的目的是了解标准化满意度测量之外的患者体验。方法:我们进行了一项定性研究,采访了19名来自诊所的患者(英语,西班牙语或德语患者)。结果:一些主题,比如希望对医生有信心,在各个语言群体中都出现了,这表明了制度上的挑战。其他主题,如对所提供的护理的不信任,明显与说不同于提供者的语言有关。还有一些主题,如无力感,与文化差异和说工作人员不会说的语言(Mien)有关。结论:研究结果表明,需要了解不同患者群体的文化行为和互动方式,以创建高质量的医疗之家。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Patient Experiences in a Linguistically Diverse Safety Net Primary Care Setting: Qualitative Study.

Background: The patient-centered medical home model intends to improve patient experience and primary care quality. Within an urban safety net setting in Northern California, United States, these desired outcomes are complicated by both the diversity of the patient community and the care continuity implications of a residency program.

Objective: The objective of our study was to understand the patient experience beyond standardized satisfaction measures.

Methods: We conducted a qualitative study, interviewing 19 patients from the clinic (English-, Spanish-, or Mien-speaking patients).

Results: Some themes, such as the desire to feel confident in their doctor, emerged across language groups, pointing to institutional challenges. Other themes, such as distrust in care being provided, were tied distinctly to speaking a language different from one's provider. Still other themes, such as a sense of powerlessness, were related to cultural differences and to speaking a language (Mien) not spoken by staff.

Conclusions: Findings illuminate the need to understand cultural behaviors and interactional styles in a diverse patient population to create a high-quality medical home.

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来源期刊
Journal of Participatory Medicine
Journal of Participatory Medicine Medicine-Medicine (miscellaneous)
CiteScore
3.20
自引率
0.00%
发文量
8
审稿时长
12 weeks
期刊最新文献
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