性别与健康不平等技术介绍.ppt

* * * * * * Talking Points and Notes to Presenter Culturally responsive care adapts the elements of competent medical care—eg, medical knowledge, communication skills, professional conduct—to meet culture-specific needs. For example, a physician’s medical knowledge may be stretched to explain anemia or diabetes, its effects, and treatment to a patient in a way that makes sense. * * * 婚姻移民者在医疗照顾上的弱势 延迟(无法)就医 无法及早诊断 未受到平等的治疗与照顾 性健康未受到保障 生育权力无法自主 何谓文化适切性医疗照护 文化适切性医疗照护是: 医学上适切的照护 medically competent 使自己能处理具文化特定需求的个案 culturally specific need Ethics Resource Center American Medical Association 美国卫生部2001年11月公布CLAS准则手册 3大议題14项准则: 文化适切性核心能力 Culture competency 语言可近性服务 Language access services 组织的支持 Organizational supports Culturally and Linguistically Appropriate Services (CLAS)具文化及语言适切性的服务 文化适切性健康照护与医护人员教育Cultural Competence Education for Health Professionals 成功大学医学院 小儿科林秀娟教授 通译员服务 成大医院健康咨询中心 电话追踪 门诊病房访视 语言可近性 * * * * * * * Talking Points and Notes for Presenter Disparities in use of health services and in outcomes occur along racial, ethnic, and cultural splits even when access to care, diagnosis, and illness severity are the same. Evidence-based medicine must be used to address these disparities [1-7]. 1. Brian D, Smedley AYS, Nelson AR, eds.Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: Institute of Medicine; 2002. 2. The Henry J Kaiser Family Foundation.Race, Ethnicity Family Care: A Survey of Public Perceptions and Experiences. Menlo Park, Calif: Henry J Kaiser Family Foundation; 1999. 3. Aaron KF, Clancy CM. Improving quality and reducing disparities: toward a common pathway.JAMA. 2003;289:1033-1034. 4. Ayanian JZ, Udvarhelyi IS, Gatsonis CA, Pashos CL, Epstein AM. Racial differences in the use of revascularization procedures after coronaryangiography.JAMA. 1993;269:2642-2646. 5. Gornick ME, Eggers PW, Reilly TW, et al. Effects of race and income on mortality and use of services among Medicare benefi