Health care system accessibility
Health care system accessibility
复制标题
DOI：
10.1111/j.1525-1497.2006.00340.x
复制
发表时间：
2006-03-01
影响因子：
5.7
通讯作者：
Zazove, P
中科院分区：
文献类型：
--
作者：
Steinberg, AG;Barnett, S;Zazove, P
背景资料：聋人使用医疗保健服务不同于一般人群;很少有研究已经进行，以了解原因。目的：为了更好地了解聋人谁在美国手语沟通的医疗保健经验。设计：在3个美国城市的焦点小组讨论的定性分析。参与者：91名聋人成年人谁主要在美国手语沟通。测量：我们收集了有关医疗保健沟通和临床医生的态度的看法的信息。我们引出的故事，积极和消极的遭遇，以及改善healthcare.Results的建议：沟通困难是无处不在的。恐惧、不信任和挫折感在参与者对医疗保健遭遇的描述中很突出。积极的经验的特点是有医学经验丰富的认证口译员，具有手语技能的保健从业人员，以及努力改善沟通的从业人员。许多与会者承认对自己的法律的权利了解有限，没有为自己辩护。一些与会者认为，卫生保健从业人员应该更多地了解社会文化方面的deafense.Conclusions：聋人报告使用医疗保健服务的困难。医生可以促进改变以改善这一点。未来的研究应该探讨临床医生与聋人合作时的观点，改善沟通的方法，以及教授聋人自我辩护技能和他们的法律的权利的项目的影响。
Background: People who are deaf use health care services differently than the general population; little research has been carried out to understand the reasons.Objective: To better understand the health care experiences of deaf people who communicate in American Sign Language.Design: Qualitative analyses of focus group discussions in 3 U.S. cities.Participants: Ninety-one deaf adults who communicate primarily in American Sign Language.Measurements: We collected information about health care communication and perceptions of clinicians' attitudes. We elicited stories of both positive and negative encounters, as well as recommendations for improving health care.Results: Communication difficulties were ubiquitous. Fear, mistrust, and frustration were prominent in participants' descriptions of health care encounters. Positive experiences were characterized by the presence of medically experienced certified interpreters, health care practitioners with sign language skills, and practitioners who made an effort to improve communication. Many participants acknowledged limited knowledge of their legal rights and did not advocate for themselves. Some participants believed that health care practitioners should learn more about sociocultural aspects of deafness.Conclusions: Deaf people report difficulties using health care services. Physicians can facilitate change to improve this. Future research should explore the perspective of clinicians when working with deaf people, ways to improve communication, and the impact of programs that teach deaf people self-advocacy skills and about their legal rights.