A "DisJOINTed" Relationship: Older African Americans' Osteoarthritis Pain Management Experiences with Healthcare Providers.

IF 2.2 3区 社会学 Q2 GERONTOLOGY
Staja Q Booker, Keela A Herr
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引用次数: 0

Abstract

Managing debilitating chronic pain due to osteoarthritis often presents significant challenges for historically marginalized populations such as African American older adults. This qualitative analysis examined older African Americans' (N = 18) encounters with healthcare providers when seeking chronic pain treatment for osteoarthritis. A conventional thematic analysis identified five major themes: (1) Seeking treatment is a nuanced balance of overcoming personal delays to receive professional help and decision support, (2) Experiencing mistreatment diminishes faith in providers and increases faith in a higher power, (3) Advocating for informed care is a necessary challenge, (4) Receiving limited treatment options results in disjointed care and culturally informed self-care, and (5) Experiencing "good" care is rare but appreciated. The quality of patient-provider relationships varied considerably and resulted in disjointed care. These results illuminate the 21st century experiences of navigating a complex and biased healthcare system and emphasize opportunities for providers to increase advocacy and empathy.

“脱节”的关系:老年非洲裔美国人与医疗保健提供者的骨关节炎疼痛管理经验。
管理由骨关节炎引起的衰弱性慢性疼痛通常对历史上边缘化的人群(如非裔美国老年人)提出重大挑战。本定性分析检查了老年非裔美国人(N = 18)在寻求骨关节炎慢性疼痛治疗时与医疗保健提供者的接触。传统的专题分析确定了五个主要主题:(1)寻求治疗是克服个人延迟以获得专业帮助和决策支持的微妙平衡;(2)经历虐待减少了对提供者的信心,增加了对更高权力的信心;(3)倡导知情护理是一个必要的挑战;(4)接受有限的治疗选择导致护理脱节和文化知情的自我护理;(5)经历“良好”的护理是罕见的,但值得赞赏。医患关系的质量差异很大,导致护理脱节。这些结果阐明了21世纪在复杂和有偏见的医疗保健系统中导航的经验,并强调了提供者增加宣传和同情的机会。
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来源期刊
Research on Aging
Research on Aging GERONTOLOGY-
CiteScore
4.50
自引率
0.00%
发文量
59
期刊介绍: Research on Aging is an interdisciplinary journal designed to reflect the expanding role of research in the field of social gerontology. Research on Aging exists to provide for publication of research in the broad range of disciplines concerned with aging. Scholars from the disciplines of sociology, geriatrics, history, psychology, anthropology, public health, economics, political science, criminal justice, and social work are encouraged to contribute articles to the journal. Emphasis will be on materials of broad scope and cross-disciplinary interest. Assessment of the current state of knowledge is as important as provision of an outlet for new knowledge, so critical and review articles are welcomed. Systematic attention to particular topics will also be featured.
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