Group boundary salience and nonaccommodation between healthcare workers and community members in Ghana

IF 1.7 2区 文学 Q2 EDUCATION & EDUCATIONAL RESEARCH
Mathias Aboba , Gretchen Montgomery-Vestecka
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引用次数: 0

Abstract

Over the past decades, public health policy and initiatives have shifted away from individual interventions to focus more broadly on community-based and social determinants of health. Community-based health initiatives are health programs developed to be implemented at the community level, especially amongst poor rural populations and urban slums that may be excluded from traditional healthcare models. However, evidence regarding the success of community-based health initiatives remains mixed, perhaps due to lack of research focused on the social identity and communication experiences of community members and healthcare workers. Mobilizing communication accommodation theory, the current study analyzes healthcare discourses in the context of Ghana's Community-Based Health Planning and Service initiative. Critical discourse analysis of forty-four focus group interviews revealed significant tensions regarding patient-practitioner roles and expectations, organizational role constraints experienced by healthcare workers, and ethnolinguistic group boundaries. As a result, community members frequently express feelings of nonaccommodation from healthcare workers, leading to poor evaluations of healthcare workers' communication accommodation competence. Theoretical and practical implications of the findings are discussed.

加纳卫生保健工作者和社区成员之间的群体边界突出和不适应
过去几十年来,公共卫生政策和举措已从个人干预措施转向更广泛地关注基于社区和社会的健康决定因素。以社区为基础的卫生倡议是在社区一级,特别是在可能被排除在传统保健模式之外的农村贫困人口和城市贫民窟中实施的卫生方案。然而,关于社区卫生倡议成功的证据仍然好坏参半,这可能是由于缺乏对社区成员和卫生保健工作者的社会认同和沟通经验的研究。动员沟通适应理论,目前的研究分析了加纳社区卫生规划和服务倡议背景下的卫生保健话语。对44个焦点小组访谈的批判性话语分析揭示了关于患者-医生角色和期望、卫生保健工作者经历的组织角色约束和民族语言群体边界的显著紧张关系。因此,社区成员经常表达医护人员的不适应感,导致对医护人员沟通适应能力的评价较差。讨论了研究结果的理论和实践意义。
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来源期刊
Language Sciences
Language Sciences Multiple-
CiteScore
2.90
自引率
0.00%
发文量
38
期刊介绍: Language Sciences is a forum for debate, conducted so as to be of interest to the widest possible audience, on conceptual and theoretical issues in the various branches of general linguistics. The journal is also concerned with bringing to linguists attention current thinking about language within disciplines other than linguistics itself; relevant contributions from anthropologists, philosophers, psychologists and sociologists, among others, will be warmly received. In addition, the Editor is particularly keen to encourage the submission of essays on topics in the history and philosophy of language studies, and review articles discussing the import of significant recent works on language and linguistics.
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