Cross-cultural primary care: A patient-based approach
Cross-cultural primary care: A patient-based approach
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DOI：
10.7326/0003-4819-130-10-199905180-00017
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发表时间：
1999-05-18
影响因子：
39.2
通讯作者：
Betancourt, JR
中科院分区：
文献类型：
--
作者：
Carrillo, JE;Green, AR;Betancourt, JR
在当今的多元文化社会中，确保所有人都能获得高质量的医疗保健要求医生了解每个病人的社会文化背景如何影响他或她的健康信念和行为。为了解决这些问题，已经开发了跨文化课程，但在医学教育中并未广泛使用。许多课程对“文化能力”采取了一种分类的、潜在的刻板方法，将某些文化的患者与一系列具体的、统一的特征联系在一起。此外，课程经常忽视社会因素对跨文化相遇的重要性。本文讨论了一个以病人为基础的住院医师和医学生的跨文化课程，该课程教授个体病人的社会背景和文化健康信仰和行为的分析框架。课程由五个主题单元组成，分为四个2小时的课程。目的是帮助医生避免文化泛化，同时提高他们理解、沟通和照顾不同背景患者的能力。
In today's multicultural society, assuring quality health care for all persons requires that physicians understand how each patient's sociocultural background affects his or her health beliefs and behaviors. Cross-cultural curricula have been developed to address these issues but are not widely used in medical education. Many curricula take a categorical and potentially stereotypic approach to "cultural competence" that weds patients of certain cultures to a set of specific, unifying characteristics. In addition, curricula frequently overlook the importance of social factors on the cross-cultural encounter. This paper discusses a patient-based cross-cultural curriculum for residents and medical students that teaches a framework for analysis of the individual patient's social context and cultural health beliefs and behaviors. The curriculum consists of five thematic units taught in four 2-hour sessions. The goal is to help physicians avoid cultural generalizations while improving their ability to understand, communicate with, and care for patients from diverse backgrounds.