Professional Uncertainty and Disempowerment Responding to Ethnic Diversity in Health Care A Qualitative Study 英文参考文献.docVIP

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Professional Uncertainty and Disempowerment Responding to Ethnic Diversity in Health Care A Qualitative Study 英文参考文献.doc

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Professional Uncertainty and Disempowerment Responding to Ethnic Diversity in Health Care A Qualitative Study 英文参考文献

o PL SMEDICINE ProfessionalUncertaintyandDisempowerment RespondingtoEthnicDiversityinHealthCare: AQualitativeStudy Joe Kai1*,Jackie Beavan1,Christina Faull2,Lynne Dodson3,Paramjit Gill4,Angela Beighton1 1 Division of Primary Care, University of Nottingham Graduate Medical School, United Kingdom, 2 LOROS, Leicester, United Kingdom, 3 United Hospitals Birmingham NationalHealthServiceTrust,Birmingham,UnitedKingdom,4DepartmentofGeneralPracticeandPrimaryCare,UniversityofBirmingham,UnitedKingdom Funding:Thisstudywasfundedby agrantfromCancerResearchUK, whoplayednoroleinstudydesign, datacollectionoranalysis,decision topublishorpreparationofthis paper. ABSTRACT Background Whileethnicdisparitiesinhealthandhealthcareareincreasing,evidenceonhowtoenhance quality of care and reduce inequalities remains limited. Despite growth in the scope and application of guidelines on ‘‘cultural competence,’’ remarkably little is known about how practisinghealthprofessionalsexperienceandperceivetheirworkwithpatientsfromdiverse ethnic communities. Using cancercare asa clinical context,we aimed toexplore this with a rangeofhealthprofessionalstoinforminterventionstoenhancequalityofcare. CompetingInterests:Theauthors havedeclaredthatnocompeting interestsexist. AcademicEditor:MichaelS.Wilkes, UniversityofCaliforniaDavis,United StatesofAmerica Citation:KaiJ,BeavanJ,FaullC, DodsonL,GillP,etal.(2007) Professionaluncertaintyand disempowermentrespondingto ethnicdiversityinhealthcare:A qualitativestudy.PLoSMed4(11): e323.doi:10.1371/journal.pmed. 0040323 MethodsandFindings Weconductedaqualitativestudyinvolving18focusgroupswithapurposefulsampleof106 health professionals of differing disciplines, in primary and secondary care settings, working with patient populations of varying ethnic diversity in the Midlands of the UK. Data were analysed by constant comparison and we undertook processes for validation of analysis. We found that, as they sought to offer appropriate care, health professionals wrestled