长期COVID活跃病例发现研究协议:在STIMULATE-ICP研究 (症状,轨迹,不平等和管理:了解长期COVID以解决和转变现有的综合护理途径) 中共同制作的社区试点
Nisreen A Alwan1,2,3, Donna Clutterbuck1, Marija Pantelic4,5
1School of Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, United Kingdom.
PloS one
|July 20, 2023
概括
这项研究试行了一种以社区为基础的方法,在伦敦的弱势群体中确定未被诊断的长期Covid病例. 它探讨了护理障碍和耻辱的经历,旨在改善获得长期Covid支持的机会.
科学领域:
- 公共卫生 公共卫生
- 健康上的不平等 卫生上的不平等
- 长时间的Covid研究
背景情况:
- 长期的Covid不成比例地影响着社会弱势群体,加剧了现有的健康不平等.
- 这些群体面临着更高的COVID-19暴露,更糟糕的结果,经济困难和先前存在的医疗保健障碍.
- 人们对这些人群的长期Covid体验知之甚少,在正式护理中潜在的代表性不足.
研究的目的:
- 测试基于社区的方法来识别未被诊断的长期Covid病例的可行性.
- 探索在弱势社区中对长期Covid的认可,护理和支持的障碍.
- 调查长期Covid患者之间的耻辱和歧视经历.
主要方法:
- 与长期COVID患者组成的社区咨询委员会 (CAB) 共同制作研究材料.
- 通过志愿组织在社区分发传单,招募未被诊断的病例.
- 定性采访探讨症状,护理准入,耻辱和歧视.
主要成果:
- 试点研究成功测试了长期Covid的基于社区的招聘策略.
- 确定了获得长期COVID诊断和专业服务的关键障碍.
- 收集了关于弱势群体的耻辱和歧视经历的见解.
结论:
- 基于社区的方法可以识别代表性不足的长期Covid病例.
- 解决障碍和耻辱对于公平的长期COVID护理至关重要.
- 调查结果为改善对弱势群体长期COVID支持的战略提供了信息.
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