为无家可归者提供量身定制的糖尿病护理的概念框架的开发:一种定性研究
Journal of health care for the poor and underserved
|July 19, 2023
概括
无家可归给糖尿病自我管理带来了挑战. 计划使用以人为中心的护理,可访问的结构,并支持工作人员,以改善这种脆弱人群的糖尿病结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 无家可归对有效的糖尿病自我管理构成重大障碍.
- 现有的项目已经制定了克服这些挑战的策略.
- 需要一个框架来描述这些多学科提供者的策略.
研究的目的:
- 制定一个框架,描述用于支持无家可归者糖尿病自我管理的项目所使用的策略.
- 通过各种方案和设置来确定共同的方法.
主要方法:
- 对加拿大五个城市96名卫生和社会保健提供者的半结构化访谈进行了定性主题分析.
- 提供糖尿病或无家可归服务的提供者的有目的抽样.
主要成果:
- 确定了三个主要组的启用方法:以人为中心的提供者行为,较低障碍的组织结构,以及通往更大的护理系统的桥梁.
- 以人为中心的行为包括根据个人的约束量身定制护理计划.
- 较低的障碍结构涉及专门的流程来提高可访问性,而桥梁策略包括支持工作人员的访问.
结论:
- 不同的项目采用类似的策略来加强无家可归者糖尿病护理.
- 这些发现为主流服务提供了切实的机会,以改善与这一群体的接触.
- 一个有特征的框架可以指导多学科提供者支持无家可归的糖尿病患者.
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