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首页> 外文期刊>Journal of health care for the poor and underserved >Integrating Behavioral and Primary Health Care in Rural Clinics: What Does Culture Have to Do with It?
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Integrating Behavioral and Primary Health Care in Rural Clinics: What Does Culture Have to Do with It?

机译：在农村诊所整合行为和初级医疗保健：文化与之有什么关系？

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Successful integration of health care in rural and underserved communities requires attention to power structures, trust, and disciplinary boundaries that inhibit team-based integration of behavioral and primary health care. This paper reports on perceived successes and ongoing challenges of integrating primary and behavioral health care from the perspectives of providers, community leaders, and community members. Data collection consisted of semi-structured qualitative interviews and focus groups conducted as part of a regional health equity assessment in northern Arizona. The authors explore barriers and successes in integrating health care in rural clinics using the perspective of a social ecological framework and the mediating role of culture. Differing expectations, differing professional areas, and interpersonal interactions were primary factors challenging movement toward integrated health care. Results suggest that providers and policymakers working toward health care integration should consider culture and interpersonal interaction as dynamic mediators, particularly in underserved and rural health care contexts.
机译：在农村和服务不足的社区中成功融合医疗保健需要注意抑制基于团队的行为和初级保健的基于团队的能力结构，信任和纪律的界限。本文报告了从提供商，社区领导者和社区成员的角度融入初级和行为保健的持续挑战和持续挑战。数据收集由作为亚利桑那州北部区域健康股权评估的一部分进行的半结构性定性访谈和焦点小组。作者利用社会生态框架的视角和文化的中介作用，探讨了农村诊所整合医疗保健的障碍和成功。不同的期望，不同的专业领域和人际关系的相互作用是挑战综合医疗保健的主要因素。结果表明，为医疗保健一体化的提供者和政策制定者应考虑文化和人际交往作为动态调解员，特别是在不足和农村医疗环境中。

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