The challenge of providing infertility services to a low-income immigrant Latino population.
The challenge of providing infertility services to a low-income immigrant Latino population.
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DOI：
10.1016/j.fertnstert.2008.05.037
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发表时间：
2009-07
影响因子：
6.7
通讯作者：
Jackson R
中科院分区：
文献类型：
--
作者：
Nachtigall RD;Castrillo M;Shah N;Turner D;Harrington J;Jackson R
提供深入了解低收入移民拉丁裔夫妇寻求不孕不育治疗的经验。定性访谈研究。大学附属城市公立教学医院不孕症诊所。低收入移民拉丁裔夫妇（105名女性和40名男性）。深入的录音采访。在转录和翻译之后，采访被编码并分析主题内容。我们确定了向这一人群提供不孕不育服务的四个主要挑战：（1）沟通：语言和文化障碍导致患者难以理解诊断和治疗，也难以将他们的问题，担忧和经验传达给医生;（2）连续性：由于医学生和居民经常轮换，患者通常在每次就诊时看到不同的医生。(3)官僚主义：患者报告难以安排预约、随访和定时实验室程序。(4)可获得性：患者面临治疗的可获得性和可负担性有限的问题。在一个大型的城市大学附属不孕不育诊所，与沟通，理解，连续性，官僚主义，可及性，可用性和可负担性相关的挑战阻碍了向许多低收入移民拉丁裔患者提供最佳不孕不育护理。我们建议更多的翻译人员和患者和医生的文化取向，以解决这些医疗保健障碍。
To provide insight into the experience of low income immigrant Latino couples seeking infertility treatment. Qualitative interview study. Infertility Clinic at a University-affiliated urban public teaching hospital. Infertile low-income immigrant Latino couples (105 women and 40 men). In-depth tape-recorded interviews. After transcription and translation, the interviews were coded and analyzed for thematic content. We identified four major challenges to providing infertility services to this population: (1) Communication: Language and cultural barriers resulted in patients having difficulty both in understanding diagnoses and treatments and in communicating their questions, concerns and experiences to physicians; (2) Continuity: Because medical student and residents rotated frequently, patients usually saw a different physician at each visit. (3) Bureaucracy: Patients reported having difficulty with appointment scheduling, follow-up visits, and timed laboratory procedures. (4) Accessibility: Patients faced issues of limited availability and affordability of treatment. At a large, urban, University-affiliated infertility clinic, challenges related to communication, comprehension, continuity, bureaucracy, accessibility, availability, and affordability impeded the delivery of optimal infertility care to many low income immigrant Latino patients. We recommend a greater availability of translators and both patient and physician cultural orientations to address these health care barriers.
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影响因子：
5.7
作者：
Fernandez, A;Schillinger, D;Pérez-Stable, EJ
通讯作者：
Pérez-Stable, EJ
影响因子：
7.4
作者：
Kagawa-Singer, M;Kassim-Lakha, S
通讯作者：
Kassim-Lakha, S
影响因子：
39.2
作者：
Carrillo, JE;Green, AR;Betancourt, JR
通讯作者：
Betancourt, JR
影响因子：
3.6
作者：
Dogra, Nisha;Carter-Pokras, Olivia
通讯作者：
Carter-Pokras, Olivia
影响因子：
7.4
作者：
Park, ER;Betancourt, JR;Weissman, JS
通讯作者：
Weissman, JS