The Role of Alaska's Tribal Health Workers in Supporting Families
The Role of Alaska's Tribal Health Workers in Supporting Families
复制标题
DOI：
10.1007/s10900-017-0349-0
复制
发表时间：
2017-10-01
影响因子：
5.9
通讯作者：
Cueva, Katie
中科院分区：
文献类型：
--
作者：
Chernoff, Miriam;Cueva, Katie
阿拉斯加的社区健康助手/从业人员 (CHA/P) 通常是阿拉斯加农村社区中唯一的医务人员，在向其他服务不足的个人提供医疗保健服务和教育方面发挥着重要作用。这项定性研究探讨了 CHA/P 如何支持健康家庭。来自阿拉斯加西部两个农村社区的六名 CHA/P 接受了采访，了解他们的执业范围、与母亲、婴儿、家庭和青少年的互动、与其他医疗提供者的关系以及对他们工作的看法。使用扎根理论，在 Dedoose 软件中分析逐字记录，并按主题和结构组件进行编码。接受采访的 CHA/P 分享了 CHA/P 计划如何成为一种与文化相关的提供医疗保健的方式，并讨论了工作的挑战、奖励和改进建议。 CHA/P 描述了他们作为社区实地健康和保健资源的独特作用，并谈到与其他医疗专业人员进行咨询，以便为阿拉斯加农村地区的个人提供更好的护理。 CHA/P 表示，他们提供产前护理、怀孕期间的患者教育、必要时的紧急分娩服务、儿童健康检查以及向青少年提供氟化物冲洗、疫苗接种以及有关性健康和药物/酒精等问题的教育。 CHA/P 还谈到，患者教育是一项主要责任，这也减少了患者负担并防止倦怠。 CHA/P 计划是一种全面、创新的方法，旨在提供医疗保健教育和服务，促进社区健康，包括积极的亲子互动、儿童健康和青少年决策。该计划是一种可应用于其他部落和资源有限环境的医疗保健提供模式。
Alaska's Community Health Aides/Practitioners (CHA/Ps) are often the sole medical workers in their communities in rural Alaska, and are instrumental in providing healthcare services and education to otherwise underserved individuals. This qualitative study explored how CHA/Ps support healthy families. Six CHA/Ps from two rural communities in western Alaska were interviewed about their scope of practice, interactions with mothers, infants, families, and teens, relationship to other medical providers, and perceptions of their work. Using grounded theory, verbatim notes were analyzed in Dedoose software and coded by thematic and structural components. Interviewed CHA/Ps shared how the CHA/P program is a culturally relevant way to deliver healthcare, and talked about the challenges of the work, rewards, and suggestions for improvement. CHA/Ps described their unique role as the on-the-ground health and wellness resource in their communities, and talked about consulting with other medical professionals to provide better care for individuals in rural Alaska. CHA/Ps described that they provided prenatal care, patient education during pregnancy, emergency delivery services when necessary, well-child visits, and outreach to teens to give fluoride rinses, vaccinations, and education about issues such as sexual health and drugs/alcohol. CHA/Ps also talked about patient education as a primary responsibility, which also reduced patient load and prevented burn-out. The CHA/P program is a comprehensive and innovative approach to providing healthcare education and services that promotes healthy communities, including positive parent-infant interactions, child wellness, and teen decision-making. The program is a healthcare delivery model translatable to other tribal and limited-resource contexts.