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A Mixed Methods Study of Health Care Experience Among Asian Indians in the Southeastern United States

机译:美国东南部亚洲印第安人医疗保健经验的混合方法研究

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Purpose: The study explored health care experiences among Asian Indian immigrants living in the Southeastern United States. Design and Method: A concurrent triangulation mixed methods design was used with a purposive sample of 125 Asian Indian immigrants aged between 40 and 64 years in the survey and 10 participants in the focus group. Results: The majority of the participants had health insurance and higher socioeconomic status. They had a moderate level of knowledge on the U.S. health care system and health insurance while presenting moderate satisfaction with the system. Barriers to health care services and needs in the health care system were identified from both quantitative and qualitative data. Some of the barriers were high costs, dissatisfaction with services, and inconvenience in accessing services. Participants called for self-management and community-based health programs as well as culturally tailored health care services. Discussion and Conclusion: Findings congruent with prior studies further support the importance of comprehending Asian Indians' unique cultural background and experiences in the health care system. This study can be the foundation for culturally competent care to advance the body of transcultural nursing knowledge. Implications for Practice: Culturally congruent community-based health care programs are needed to provide better care for the ethnic minority to maintain and promote their health status.
机译:目的:该研究探讨了居住在美国东南部的亚裔印度移民的医疗保健经验。设计和方法:采用并发三角测量混合方法设计,针对的是该调查的125位年龄在40至64岁之间的亚裔印度移民和焦点小组的10名参与者。结果:大多数参与者具有健康保险和较高的社会经济地位。他们对美国的医疗保健系统和健康保险有中等程度的了解,同时对该系统表示中等满意度。从定量和定性数据中确定了医疗保健服务的障碍和医疗保健系统的需求。其中一些障碍是高成本,对服务的不满意以及访问服务的不便。与会者呼吁实行自我管理和基于社区的保健方案以及针对文化的保健服务。讨论与结论:与先前研究相一致的发现进一步支持了理解亚裔印第安人独特的文化背景和医疗保健系统经验的重要性。这项研究可以作为具有文化能力的护理的基础,以促进跨文化护理知识体系的发展。对实践的影响:需要在文化上一致的基于社区的医疗保健计划,以便为少数民族提供更好的护理,以维持和改善其健康状况。

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