ABSTRACT

Objectives

Due to the exponential growth in the Latinx older adult population, culturally responsive services are needed, especially since most healthcare providers are non-Latinx with limited Spanish or bilingual skills. One place to start is by drawing a formative assessment of the healthcare providers’ knowledge and awareness of the healthcare needs of Latinx older adults.

Methods

Focus groups were conducted to explore the healthcare providers’ knowledge and awareness of cultural and structural barriers and facilitators to accessing health care services for Latinx older adults.

Results

Results note that healthcare providers perceived the healthcare needs for Latinx older adults to be underutilized for healthcare services, preventive interventions for healthy diet/lifestyle, and healthcare knowledge. Providers reported Latinx family over-involvement, religiosity, immigration, and language/lack of interpreters as barriers to seeking timely healthcare. Finally, healthcare providers said that family support, the location of healthcare services, and community-based partnerships were all facilitators for seeking healthcare.

Conclusions

Findings suggest providers’ conflicting perspectives toward the Latinx communities.

Clinical Implications

Healthcare services can consider implementing trainings for non-Latinx providers to recognize conflicting perspectives and reduce implicit bias toward the Latinx communities.

中文翻译：

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非拉丁裔医疗保健提供者对拉丁裔老年临床健康需求的知识和意识

摘要

目标

由于拉丁裔老年人口呈指数级增长，因此需要具有文化敏感性的服务，尤其是因为大多数医疗保健提供者都是非拉丁裔，西班牙语或双语技能有限。一个起点是对医疗保健提供者对拉丁裔老年人医疗保健需求的知识和意识进行形成性评估。

方法

进行了焦点小组讨论，以探索医疗保健提供者对文化和结构障碍的知识和认识，以及促进拉丁裔老年人获得医疗保健服务的因素。

结果

结果表明，医疗保健提供者认为拉丁裔老年人的医疗保健需求在医疗保健服务、健康饮食/生活方式的预防干预和医疗保健知识方面未得到充分利用。提供者报告拉丁裔家庭过度参与、宗教信仰、移民和语言/缺乏口译员是寻求及时医疗保健的障碍。最后，医疗保健提供者表示，家庭支持、医疗保健服务地点和基于社区的伙伴关系都是寻求医疗保健的促进因素。

结论

调查结果表明提供者对拉丁社区的看法相互矛盾。

临床意义

医疗保健服务可以考虑对非拉丁裔提供者进行培训，以识别相互矛盾的观点并减少对拉丁裔社区的隐性偏见。