Implementing Strengths-Based Dialogue to Reframe Clinical Education and Community Engagement.
Purpose: Health care professionals want to solve problems. When health disparities are observed, the solution often rests on expanding access to clinical services. However, what are the varied paths that persons with communication disorders might take to access speech, language, and hearing care? Wh...
| Publicado en: | Perspectives of the ASHA Special Interest Groups Vol. 8; no. 5; pp. 1055 - 1065 |
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| Autores principales: | , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
American Speech-Language-Hearing Association
Oct2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172961350&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172961350 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2381473X KTSD jtl: Perspectives of the ASHA Special Interest Groups issn: 2381473X maglogo: N pubinfo: dt: Oct2023 vid: 8 iid: 5 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 172961350 172961350 172961350 10.1044/2023_PERSP-23-00018 172961350 ppf: 1055 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Implementing Strengths-Based Dialogue to Reframe Clinical Education and Community Engagement. aug: au: Mills, Monique T. Balz, Magdalen Price, Daniel affil: University of Houston, TX sug: subj: Program Implementation Communication Education, Clinical Communicative Disorders Rehabilitation Rehabilitation, Speech and Language Health Services Accessibility Quality of Life Conceptual Framework Clinical Research Research Personnel Physicians Medically Underserved Health Care Delivery Trust Empathy Patient Centered Care Decision Making, Clinical Paradigms Interpersonal Relations Social Determinants of Health Cultural Competence Philosophy Communicative Disorders Diagnosis Health Screening Cognition Disorders Prevention and Control Housing Instability Psychosocial Factors Wellness Problem Solving Healthcare Disparities Child Aged Child: 6-12 years Aged: 65+ years ab: Purpose: Health care professionals want to solve problems. When health disparities are observed, the solution often rests on expanding access to clinical services. However, what are the varied paths that persons with communication disorders might take to access speech, language, and hearing care? Where are these paths successful and where does a well-intended initiative have an absent or limited effect in altering disparities? Multiple, complex factors affect access to health care in underserved communities. However, current practice tends to frame the goals and metrics of outreach programs in terms of access to health care services, which risks privileging the perspective of the providers who want to increase the volume of services accessed over the voices of the community members for whom access to health care is only part of the larger course of their lives. Solutions that do not reflect those community strengths outside the service provision framework likely yield minimal impact on quality of life, since the community members are less likely to fully embrace the solution. Method: In this clinical focus, we describe a community-informed strengths-based framework for clinicians and clinical researchers whose work is designed to reach underserved communities by employing mutual trust, empathy, active listening, and patient-centered care planning. Through case scenarios, we exemplify key tenets of the framework. Conclusions: The community-informed strengths-based framework detailed in this clinical focus supports a paradigm shift from a biomedically-informed strengths-based framework to a model of health care service provision that focuses on individual or community strengths. Eliciting guidance from those receiving care and framing the totality of encounters in terms of the process of responding to community strengths can build a collaborative and sustainable path forward toward achieving health goals. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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