Document Detail

Agenda dissonance: immigrant Hispanic women's and providers' assumptions and expectations for menopause healthcare.
MedLine Citation:
PMID:  15604227     Owner:  NLM     Status:  MEDLINE    
This focus group study examined immigrant Hispanic women's and providers' assumptions about and expectations of healthcare encounters in the context of menopause. Four groups of immigrant women from Central America and one group of healthcare providers were interviewed in Spanish and English, respectively. The women wanted provider-initiated, individualized anticipatory guidance about menopause, acknowledgement of their symptoms, and mainstream medical treatment for disruptive symptoms. Providers believed that menopause was an unimportant health issue for immigrant women and was overshadowed by concerns about high-risk medical problems, such as diabetes, heart disease and HIV prevention. The women expected a healthcare encounter to be patient centered, social, and complete in itself. Providers expected an encounter to be businesslike and one part of multiple visit care. Language and lack of time were barriers cited by all. Dissonance between patient-provider assumptions and expectations around issues of healthcare leads to missed opportunities for care.
Noreen Esposito
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical nursing research     Volume:  14     ISSN:  1054-7738     ISO Abbreviation:  Clin Nurs Res     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2004-12-17     Completed Date:  2005-04-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9208508     Medline TA:  Clin Nurs Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  32-56     Citation Subset:  N    
University of North Carolina at Chapel Hill, USA.
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MeSH Terms
Attitude of Health Personnel / ethnology*
Attitude to Health / ethnology*
Clinical Competence / standards
Communication Barriers
Cultural Characteristics
Emigration and Immigration
Focus Groups
Health Knowledge, Attitudes, Practice
Health Services Needs and Demand
Hispanic Americans / education,  ethnology*
Menopause / ethnology*
Middle Aged
New York City
Nursing Methodology Research
Nursing Staff / education,  psychology*
Patient Education as Topic / standards
Patient-Centered Care / standards
Time Management

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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