社区和提供者对玻利维亚农村宫癌查的看法和经验:定性研究
Armando Basagoitia1, Sahai Burrowes2, Maria Teresa Solis-Soto3
1Salud Global, Urriolagoitia #354 Primer Piso Urriolagoitia 354, Sucre, Bolivia. armando.basagoitia@gmail.com.
BMC women's health
|July 5, 2023
概括
玻利维亚农村地区的宫癌查率低与医疗保健质量不佳和知识差距有关. 改善卫生服务和教育对于增加查机会和降低死亡率至关重要.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 定性研究是指质量研究.
背景情况:
- 玻利维亚面临着高的宫癌死亡率,尽管有努力,但农村地区的查普及率很低.
- 全民医疗保健计划需要了解农村人口对宫癌查的障碍.
研究的目的:
- 在玻利维亚农村地区探索宫癌查的障碍.
- 了解社区和提供者对宫癌护理的看法.
主要方法:
- 使用八个重点小组与80名社区成员进行定性研究,并采访了玻利维亚农村的6名医疗保健提供者.
- 通过MaxQDA软件使用演和归纳代码对数据进行主题分析.
主要成果:
- 关键主题包括关于子宫癌的缺乏知识/误解,卫生系统的不足以及对医疗保健提供者的低信心.
- 医疗保健质量差,包括沟通问题,运输和延迟结果,严重影响了查.
- 社区成员更喜欢医生而不是护士进行查,并对男性提供者表示不满.
结论:
- 医疗质量差和物理障碍阻碍了宫癌查的普及.
- 建议包括减少帕普检测结果周转时间,实施基于社区的HPV自取样,加强提供者培训和社区信心.
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