障害者の健康のための研究優先事項:専門家による意見の行使
Mark Tomlinson1, Leslie Swartz, Alana Officer
1Department of Psychology, Stellenbosch University, Stellenbosch, South Africa. markt@sun.ac.za
Lancet (London, England)
|December 1, 2009
まとめ
障害のある人々は,健康へのアクセスに重大な障壁に直面しています. 総合的な健康成果を改善するために,特定の障害に対処するだけでなく,それらのニーズを初等保健医療に統合することを研究が優先しなければなりません.
科学分野:
- 公衆衛生は公衆衛生である.
- 医療サービス 研究 医療サービス
- 障害に関する研究 障害に関する研究
背景:
- 国際的な証拠は,障害のある人々の満たされていない健康とリハビリテーションのニーズを示しています.
- 主流の医療サービスへのアクセスの障壁は,この人口の健康状態の悪化に寄与する.
- 障害者に対する健康状態,介入,効果的な政策に関する具体的な情報が不足しています.
研究 の 目的:
- 障害者の健康と機能のニーズに対応する研究を優先する.
- 障害のある人の健康状態を改善するための重要な研究課題を特定する.
- 障害と健康に関する最も影響力のある研究に向けたリソースの割り当てを導く.
主な方法:
- 子どもの健康と栄養に関する研究イニシアチブの優先順位設定方法を活用しました.
- 研究オプションを特定し,評価するために82のステークホルダーを巻き込みました.
- 責任,適用性,敏感性,文脈的なサポート,公平性に基づいて83の研究質問を評価しました.
主要な成果:
- 特定された主要な研究優先事項は,障害のある人の医療へのアクセスを妨げる障壁を理解することでした.
- 障害者のニーズを初等保健医療システムに統合するための戦略の開発は,極めて重要であると強調されました.
- 発見は,特定の障害にのみ焦点を当てることよりも,全身的な保健システムの改善がより重要であることを示唆しています.
結論:
- 障害者の適切な医療へのアクセスを改善するために,緊急に注意が必要です.
- 保健システムは,障害のあるすべての個人に適切なサービスを提供するために適応する必要があります.
- 医療システム統合に関する研究を優先することは,特に低,中所得国において不可欠です.
関連する概念動画
Restorative Care
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Assessment of the Cardiovascular System I: Subjective Data
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Concepts of Health and Illness
Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
Theoretical Foundations of Nursing Practice
Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...

