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首页> 外文期刊>Families, systems & health: the journal of collaborative family healthcare >Family-centered maternity care for deaf refugees: the patient-centered medical home in action.
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Family-centered maternity care for deaf refugees: the patient-centered medical home in action.

机译:以家庭为中心的聋人难民产妇保健:以病人为中心的医疗之家在行动。

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摘要

The intersection of 2 underserved populations-refugees and deaf individuals-presents novel challenges to health care systems and has not been described previously. A patient-centered medical home (PCMH) is uniquely equipped to provide outstanding primary care to disadvantaged groups. As an illustrative case study, we present our experience applying principles of the PCMH to address an extremely challenging clinical situation: providing high-quality maternity care to a recently immigrated Vietnamese refugee couple lacking formal language skills. We describe how enhanced access, continuity, coordination, and cultural appropriateness can facilitate favorable outcomes in even daunting circumstances. By collaborating with multiple interpreters, the health center staff, and the extended family, we effectively mobilized an expanded system of care to ensure informed consent and shared decision making, ultimately culminating in a successful labor and vaginal delivery. Through organizational and individual commitment to the tenets of the PCMH, we demonstrate the particular strengths of family medicine training sites in caring for similar patients and families with complex cultural and linguistic barriers to care.
机译:2个服务不足的人群(难民和聋人)的交集对医疗保健系统提出了新的挑战,以前没有进行过描述。以患者为中心的医疗之家(PCMH)具有独特的装备,可以为弱势群体提供出色的初级保健。作为一个说明性的案例研究,我们将介绍应用PCMH原理解决极具挑战性的临床情况的经验:为刚移民的越南新移民缺乏正式语言技能提供优质的产妇护理。我们描述了增强的访问,连续性,协调性和文化适应性如何在甚至令人生畏的情况下也可以促进有利的结果。通过与多个口译人员,卫生中心工作人员以及大家庭的合作,我们有效地动员了扩大的护理系统,以确保知情同意和共同决策,最终使成功的分娩和阴道分娩达到了高潮。通过组织和个人对PCMH原则的承诺,我们证明了家庭医学培训站点在照顾相似患者和具有复杂文化和语言障碍的家庭方面的特殊优势。

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