カナダの農村の長期ケアにおける医療従事者向けの公平性,多様性,包摂性プログラムの評価
Mirella Veras1, Holly Shannon2, Michael Kalu3
1Department of Physical Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada; Centre on Aging, University of Manitoba, Winnipeg, MB, Canada; Department of Health Sciences, Carleton University, Ottawa, ON, Canada; Riverview Health Centre, Winnipeg, MB, Canada.
まとめ
農村の長期介護施設のスタッフは,公平性,多様性,包摂性 (EDI) プログラムに対して,中程度の満足度を示した. これらのコミュニティでEDIを効果的に導入するには,継続的な努力と改善されたリソースが必要です.
科学分野:
- ヘルスケア・マネジメント・ヘルスケア・マネジメント
- 労働力の多様性 労働力の多様性
- 田舎の健康について
背景:
- 長期介護 (LTC) の需要の増加は,多様な医療従事者におけるシステム的な問題に対処することを必要としています.
- 保健医療の環境におけるこれらの課題に取り組むために,公平性,多様性,包摂性 (EDI) プログラムが開発されました.
- この研究では,ドナベディアン・フレームワークを使用して,ノバスコシアの農村部のLTC施設におけるEDIプログラムの実施を評価しました.
研究 の 目的:
- 農村の長期介護 (LTC) 環境における平等,多様性,包摂 (EDI) プログラムの実施の評価.
- スタッフの認識とEDIプログラムに関する経験を評価する.
- 田舎のLTCでEDIプログラムの実施の促進要因と障壁を特定する.
主な方法:
- 92人のLTCスタッフを対象とした混合方法の研究.
- EDIプログラムの構造,プロセス,成果を評価する定量調査.
- 質面接 (n=4) で,スタッフの経験と認識を調査する.
- 調査データの記述的および分析的分析; 質的データの反射的なテーマ分析.
主要な成果:
- スタッフは,EDIプログラムに対する理解と満足度が適度であると報告しました.
- 満足度のレベルは,収入と宗教的な所属性に基づいて著しく変化しました.
- 材料の便利化は効果的だったが,スタッフの可用性は主要な制限として浮上した.
結論:
- スタッフは,EDIプログラムに満足を表明し,農村部での継続的なコミットメントの必要性を強調しました.
- 強化されたリソースとターゲット化された教育は,田舎の医療施設にとって極めて重要です.
- 公平性,多様性,包摂性,アクセシビリティを推進するためには,インターセクショナリティを考慮することが不可欠です.
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