Mexican american elders' use of skilled home care nursing services
Mexican american elders' use of skilled home care nursing services
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DOI：
10.1046/j.1525-1446.2002.19506.x
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发表时间：
2002-09-01
影响因子：
2.1
通讯作者：
Crist, JD
中科院分区：
文献类型：
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作者：
Crist, JD
西班牙裔老年人使用熟练家庭护理 (SHCN) 服务的频率低于盎格鲁裔老年人。本研究的目的是确定影响残疾墨西哥裔美国老年人是否决定使用 SHCN 服务的因素。研究过程包括回顾一个墨西哥裔美国人社区的历史背景、采访关键和主要知情人、向社区提交一份报告并获取反馈，以及评估社区是否认为残疾老年人需要更多地使用 SHCN 服务。确定了使用 SHCN 服务的七个障碍：歧视期望、缺乏对服务的了解、家庭主义的期望、缺乏预防意识、缺乏健康保险、偏爱传统疗法以及忽视/虐待。社区咨询委员会验证了访谈中发现的障碍以及增加使用 SHCN 服务的必要性。结果为影响墨西哥裔美国老年人及其家人的医疗保健利用决策的社会政治和文化复杂性提供了新的见解，并揭示了主流专业人士和政策制定者传统的、过于简单化的信念和做法。减少亚利桑那州南部社区不平等的干预措施可能会转移到美国和全球的其他弱势群体。
Hispanic elders use skilled home care nursing (SHCN) services less often than Anglo elders. The purpose of this study was to identify factors that influence whether disabled Mexican American elders decide to use SHCN services. The research process included reviewing the historical context in one Mexican American community, interviewing key and primary informants, presenting a report to the community and getting feedback, and assessing whether the community perceived a need for increased use of SHCN services by their disabled elders. Seven barriers to the use of SHCN services were identified: expectations of discrimination, lack of knowledge about services, expectations embedded in familism, lack of sense of prevention, lack of health insurance, preference for traditional remedies, and neglect/abuse. A community advisory committee validated the barriers identified during interviews and the need for increased use of SHCN services.Results provide new insight into the sociopolitical and cultural complexities that influence health care utilization decisions by Mexican American elders and their families and uncover traditional, oversimplified beliefs and practices by mainstream professionals and policymakers. Interventions that decrease inequities in a southern Arizona community may be transferable to other vulnerable populations in the United States and globally.