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首页> 外文期刊>Qualitative health research >The Secret Drama at the Patient’s Bedside—Refusal of Treatment Because of the Practitioner’s Ethnic Identity: The Medical Staff ’s Point of View
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The Secret Drama at the Patient’s Bedside—Refusal of Treatment Because of the Practitioner’s Ethnic Identity: The Medical Staff ’s Point of View

机译：患者床边拒绝治疗的秘密戏剧，因为从业者的民族身份：医务人员的观点

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摘要

Patients’ refusal of treatment based on the practitioner’s ethnic identity reveals a clash of values: neutrality in medicine versus patient-centered care. Taking the Israeli–Palestinian conflict into account, this article aims at examining Israeli health care professionals’ points of view concerning patients’ refusal of treatment because of a practitioner’s ethnic identity. Fifty in-depth interviews were conducted with 10 managers and 40 health care professionals, Jewish and Arab, employed at 11 public hospitals. Most refusal incidents recorded are unidirectional: Jewish patients refusing to be treated by Arab practitioners. Refusals are usually directed toward nurses and junior medical staff members, especially if recognizable as religious Muslims. Refusals are often initiated by the patients’ relatives and occur more frequently during periods of escalation in the conflict. The structural competency approach can be applied to increase awareness of the role of social determinants in shaping patients’ ethnic-based treatment refusals and to improve the handling of such incidents.
机译：基于从业者的民族身份的患者拒绝治疗揭示了价值的冲突：医学中的中立与患者为中心的护理。本文介绍以色列 - 巴勒斯坦冲突，旨在审查以色列卫生保健专业人员的观点，因为从业者的民族身份，患者拒绝患者拒绝。在11名公立医院采用10名经理和40名医疗专业人员，犹太人和阿拉伯人进行了五十次进行了面试。记录的大多数拒绝事件是单向的：犹太患者拒绝被阿拉伯从业者对待。拒绝通常针对护士和初级医疗人员，特别是如果可识别为宗教穆斯林。拒绝常常由患者的亲属发起，并且在冲突中升级期间更频繁地发生。结构能力方法可以应用于提高对社会决定因素在塑造患者的基于患者的种族待遇的作用以及改善此类事件的处理方面的认识。

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