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首页> 外文期刊>Journal of immigrant and minority health >Primary Care Professional's Perspectives on Treatment Decision Making for Depression with African Americans and Latinos in Primary Care Practice
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Primary Care Professional's Perspectives on Treatment Decision Making for Depression with African Americans and Latinos in Primary Care Practice

机译：基层医疗专业人员对非裔美国人和拉丁美洲人在基层医疗实践中抑郁症的治疗决策的看法

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Increasing interest has been shown in shared decision making (SDM) to improve mental health care communication between underserved immigrant minorities and their providers. Nonetheless, very little is known about this process. The following is a qualitative study of fifteen primary care providers at two Federally Qualified Health Centers in New York and their experience during depression treatment decision making. Respondents described a process characterized in between shared and paternalistic models of treatment decision making. Barriers to SDM included discordant models of illness, stigma, varying role expectations and decision readiness. Respondents reported strategies used to overcome barriers including understanding illness perceptions and the role of the community in the treatment process, dispelling stigma using cultural terms, orienting patients to treatment and remaining available regarding the treatment decision. Findings from this study have implications for planning SDM interventions to guide primary care providers through treatment engagement for depression.
机译：人们对共享决策（SDM）表示出越来越高的兴趣，以改善服务不足的移民少数群体与其提供者之间的精神卫生保健沟通。但是，对该过程知之甚少。以下是对两个纽约联邦合格健康中心的15名初级保健提供者的定性研究，以及他们在抑郁症治疗决策中的经验。受访者描述了以共享和家长式的治疗决策模型为特征的过程。 SDM的障碍包括疾病，污名，角色期望和决策准备就绪等不一致的模型。受访者报告了用于克服障碍的策略，包括了解疾病的认识和社区在治疗过程中的作用，使用文化术语消除污名，使患者接受治疗以及在治疗决策方面保持可用。这项研究的发现对规划SDM干预措施有指导意义，以指导初级保健提供者通过参与抑郁症的治疗。

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