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首页> 外文期刊>Communication & medicine >Living with pain: narrating an ideological position toward healthcare.
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Living with pain: narrating an ideological position toward healthcare.

机译：痛苦地生活：阐述对医疗保健的意识形态立场。

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摘要

The purpose of this study is to demonstrate how individual experiences shape ideologies toward healthcare. To demonstrate, we analyze conversational narrative data about health and healthcare between a dominant Spanish-speaking Mexican immigrant woman, Maria, and the researcher, Caroline. Findings demonstrate that Maria's narrative about her experience receiving healthcare for a knee injury reveals her ideological stance toward healthcare in both the United States and Mexico. In particular, the narrative reflects an ideological position in which medical providers neglect patients and strip them of agency in making choices about their own healthcare. Cultural competence, then, is not only about gaining knowledge of patients' cultural groups but also about understanding how patients' life experiences shape them as autonomous individuals with socially constructed attitudes toward healthcare.
机译：这项研究的目的是证明个人经验如何塑造医疗保健意识形态。为了演示，我们分析了占主导地位的讲西班牙语的墨西哥移民妇女Maria和研究人员Caroline之间有关健康和保健的对话性叙述数据。调查结果表明，玛丽亚（Maria）讲述自己因膝盖受伤而接受医疗保健的经历表明了她在美国和墨西哥对医疗保健的意识形态立场。特别是，该叙述反映了一种意识形态立场，在这种立场上，医疗提供者在选择自己的医疗保健时会忽略患者并剥夺他们的代理权。因此，文化能力不仅在于获得患者文化群体的知识，而且还在于理解患者的生活经历如何塑造他们成为具有医疗保健社会态度的自主个体。

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