The Amish health culture and culturally sensitive health services: An exhaustive narrative review.

The Amish health culture and culturally sensitive health services: An exhaustive narrative review.
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DOI:
10.1016/j.socscimed.2020.113466
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发表时间:
2020-11
期刊:
Social science & medicine (1982)
影响因子:
--
通讯作者:
Potts L
Potts L
中科院分区:
其他
文献类型:
--
作者:
Anderson C;Potts L

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随着阿米什人口呈指数增长,研究人员和从业人员对阿米什人健康的兴趣也在增长。这主要是由于从业者对特定人群文化指导的需求。在阿米什研究中,以健康为主题的出版物(n=246)曾经是一个很小的研究领域,现在约占所有同行评议出版物的四分之一,其中相当大的比例涉及健康文化,即阿米什人的信仰、做法、态度、决策过程、融资和价值观。在这篇文章中,我们提供了有史以来第一次详尽的阿米什健康文化文献(解决其他地方的阿米什健康状况)的叙述回顾。具体而言,我们讨论阿米什人对现代医学、补充和替代医学、对病人和老年人的支持和照顾、卫生知识、服务付费、获得服务的障碍、服务提供者的有效性、卫生规划和伦理冲突的使用。我们的超额目标是整理文献,综合研究成果,确定导向视角,明确研究问题和方向。在我们的综合之后,我们反思了阿米什健康文化研究的现状,特别关注经常使用的文化能力范式的优势和局限性,项目/服务获取研究提出的未充分探讨的问题,文献中的差距,以及阿米什健康文化在不同时间和地点的相对稳定性。
As the Amish population is growing exponentially, researcher and practitioner interest in Amish health is also growing. This is largely due to demand from practitioners for population-specific cultural guidance. Once a small area of study, health-themed publications in Amish studies (n=246) now account for approximately one-fourth of all peer-reviewed publications, and a sizeable percentage address the health culture, i.e. Amish beliefs, practices, attitudes, decision-making processes, financing, and values. In this article, we provide a first-ever exhaustive, narrative review of the Amish health culture literature (addressing Amish health conditions elsewhere). Specifically, we address Amish use of modern medicine, complementary & alternative medicine, support and care for the sick and aged, health knowledge, payment for services, barriers to service access, service provider effectiveness, health programming, and ethical conflicts. Our overreaching goal is to organize the literature, synthesize research findings, identify orienting perspectives, and clarify research questions and directions. Following our synthesis, we reflect on the current state of Amish health culture research, drawing particular attention to strengths and limitations of the oft-used cultural competency paradigm, underexplored questions raised by program/service access studies, gaps in the literature, and the relative in/stability of Amish health culture across time and place.
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