"You get what you get": unexpected findings about low-income parents' negative experiences with community resources.
"You get what you get": unexpected findings about low-income parents' negative experiences with community resources.
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DOI：
10.1542/peds.2007-3587
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发表时间：
2008-12
期刊：
影响因子：
8
通讯作者：
Grossman, David C.
中科院分区：
文献类型：
--
作者：
Silverstein, Michael;Lamberto, Jacqueline;DePeau, Kristina;Grossman, David C.
关键词：
基于社区的资源被认为是美国医疗保健系统的重要组成部分。然而，评估这些资源的有效性的研究并没有伴随着对使用这些资源的人的看法或经验的严格探索。在本文中，我们的目的是了解和分类类型的负面看法，低收入的父母有社区资源。这一目标源于一系列意想不到的结果，这些结果是在分析最初为其他目的收集的定性数据时出现的。对城市低收入父母进行深入的定性访谈。主题出现了通过扎根理论分析的编码采访成绩单。采访发生在两个不同的城市，作为两项研究的一部分，有不同的目标。共进行了41次采访。告密者通常认为他们与人和组织的互动是一系列的权衡;重要的选择，通常是两个次优选项之间的决定。从这一角度来看，寻求社区资源的帮助也是如此。出现了以下具体主题：1）参与服务有时意味着让自己接受被认为不必要的要求;在极端情况下，必须采用他人的价值体系。2)接受服务有时被视为对周围环境失去控制，这反过来又与悲伤、无助或压力的感觉有关。3)社区机构的工作人员有时被视为评判或侵入;当同时访问许多服务时，信息有时会变得专横或成为额外压力的来源; 4）一些服务或作为此类服务的一部分而获得的建议被认为是无用的，因为它们过于通用或公式化。我们的数据表明，可定义的模式，社区资源的负面看法可能存在于低收入的父母。量化这些看法可能有助于改善这些组织以客户为中心的态度，并最终有助于减少参与的障碍。
Community-based resources are considered a critical part of the American healthcare system. However, studies evaluating the effectiveness of such resources have not been accompanied by rigorous explorations of the perceptions or experiences of those who use them. In this paper, we aim to understand and classify types of negative perceptions that low-income parents have of community resources. This objective originated from a series of unexpected findings, which emerged during the analysis of qualitative data, initially collected for other purposes. In-depth qualitative interviews with urban low-income parents. Themes emerged through a grounded theory analysis of coded interview transcripts. Interviews took place in two different cities as part of two studies with distinct objectives. We completed 41 interviews. Informants often perceived their interactions with people and organizations as a series of tradeoffs; and important choices, often as decisions between two suboptimal options. Seeking help from community resources was seen in that context. The following specific themes emerged: 1) Engaging with services sometimes meant subjecting oneself to requirements perceived as unnecessary; and in the extreme, having to adopt the value systems of others. 2) Accepting services was sometimes perceived as a loss of control over one's surroundings, which in turn was associated with feelings of sadness, helplessness or stress. 3) Individuals staffing community agencies were sometimes seen as judgmental or intrusive; and when many services were accessed concurrently, information sometimes became overbearing or a source of additional stress; and 4) Some services, or advice received as part of such services, were perceived as unhelpful because they were too generic or formulaic. Our data suggest that definable patterns of negative perceptions of community resources may exist among low-income parents. Quantifying these perceptions may help improve the client-centeredness of such organizations, and may ultimately help reduce barriers to engagement.
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