Socio-ecological influences on health-care access and navigation among persons of Mexican descent living on the U.S./Mexico border.
Socio-ecological influences on health-care access and navigation among persons of Mexican descent living on the U.S./Mexico border.
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DOI：
10.1007/s10903-012-9714-3
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发表时间：
2014-04
影响因子：
1.9
通讯作者：
Fisher-Hoch, Susan P.
中科院分区：
文献类型：
--
作者：
Reininger, Belinda M.;Barroso, Cristina S.;Mitchell-Bennett, Lisa;Chavez, Marge;Fernandez, Maria E.;Cantu, Ethel;Smith, Kirk L.;Fisher-Hoch, Susan P.
这里报告的研究调查了影响墨西哥裔人在沿着美国/墨西哥/美国海岸生活的医疗服务和导航决策的因素。墨西哥边境。具体而言，研究审查了财力有限的人如何利用这两个系统。七个焦点小组举行了52个低收入的墨西哥裔美国人年龄在18-65岁。在Atlasti 5.0软件中分析成绩单以确定主题，所使用的理论包括社会生态框架，并辅之以社会认知理论。我们发现，除了缺乏保险和财政资源来支付医疗保健;与疾病诊断相关的恐惧，尴尬和否认;医疗人员互动不良，以及对高质量但精简的医疗保健的渴望也影响了决策。这项基于理论的研究提出了重要的问题，如果医疗保健是改善健康和福利的弱势群体，并指出需要更加注重医疗之家和预防和早期干预的方法。
The study reported here examines factors influencing decision-making concerning health care access and navigation among persons of Mexican origin living along the U.S./Mexico border. Specifically, the study examined how persons with limited financial resources accessed these two systems. Seven focus groups were held with 52 low income Mexican American people aged 18–65 years. Transcripts were analyzed to identify themes in Atlasti 5.0 software and the theory used included a socio-ecological framework and complemented by constructed from the Social Cognitive Theory. We found that in addition to a lack of insurance and financial resources to pay for health care; fear, embarrassment and denial associated with a diagnosis of illness; poor medical personnel interactions, and desire for quality but streamlined health care also influenced decision making. This theory-based study raises important issues if health care is to improve the health and welfare of disadvantaged populations and points to the need for greater focus on medical homes and prevention and early intervention approaches.
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影响因子：
12.7
作者：
Casey, MM;Blewett, LA;Call, KT
通讯作者：
Call, KT
影响因子：
1.9
作者：
Breen, Nancy;Rao, Sowmya R.;Meissner, Helen I.
通讯作者：
Meissner, Helen I.
影响因子：
5.5
作者：
Bustamante, Arturo Vargas;Chen, Jie;Ortega, Alexander N.
通讯作者：
Ortega, Alexander N.
影响因子：
3.1
作者：
Fernandez, Maria E.;McCurdy, Sheryl A.;Sanderson, Maureen
通讯作者：
Sanderson, Maureen
影响因子：
1.9
作者：
Bass, Elizabeth
通讯作者：
Bass, Elizabeth