Culturally Sensitive Care 1969-2000: The Indian Chicano Health Center

Culturally Sensitive Care 1969-2000: The Indian Chicano Health Center
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DOI:
10.1177/1049732310361893
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发表时间:
2010-04-01
影响因子:
3.2
通讯作者:
Barone, Timi Lynne
Barone, Timi Lynne
中科院分区:
医学2区
文献类型:
--
作者:
Barone, Timi Lynne

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提供文化上合格的医疗保健是美国各地提供者的优先事项。然而,对于生物医学来说,提供具有文化敏感性和文化能力的护理实际上意味着什么?为了解决这个问题,我使用了一个案例研究30年的实践在城市免费诊所成立,提供文化敏感的医疗保健。文化敏感的医疗保健模式提出了相比,美国。S.卫生和人类服务部提供文化和语言上适当的护理标准(CLAS)。我的结论是,在大多数情况下,城市免费诊所的创始人和社区参与者通过其历史产生了类似的反应CLAS在他们的努力,以有效地为拉丁美洲人/拉丁美洲和美洲原住民人口。然而,城市免费诊所实施文化敏感性措施的顺序似乎遵循文化滞后的理论概念,其中物质/非物质文化转移在文化接触和社会变革的情况下是不同的。
The provision of culturally competent health care is a priority for providers across the United States. However, for biomedicine, what does the provision of culturally sensitive, culturally competent care actually mean? To address this question, I use a case study of 30 years of practice at an urban free clinic founded to provide culturally sensitive health care. The model of culturally sensitive health care presented is compared to the U. S. Department of Health and Human Services standards for providing culturally and linguistically appropriate care (CLAS). I conclude that, for the most part, the urban free clinic founders and community participants through its history generated similar responses to CLAS in their effort to effectively serve Latino/Latina and Native American populations. However, the order in which the urban free clinic implemented cultural sensitivity measures seems to follow the theoretical concept of cultural lag, where material/nonmaterial culture transference differs in situations of culture contact and social change.