使用社会生态模型探索菲律宾贫困社区医疗保健提供障碍:定性研究
Andrew Thomas Reyes1, Reimund Serafica1, Jennifer Kawi1
1School of Nursing, University of Nevada Las Vegas, Las Vegas, NV, United States.
Asian/Pacific Island nursing journal
|August 22, 2023
概括
多个层面的障碍阻碍了菲律宾巴拉加健康中心 (BHC) 获得初级医疗保健的机会. 解决这些问题需要对服务不足的社区进行全面的协作干预.
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
- 社会生态模型 社会生态模型
背景情况:
- 巴兰加健康中心 (BHC) 对于菲律宾的初级保健,疾病预防和健康促进至关重要.
- 对影响菲律宾贫困社区获得医疗保健的社会和环境因素的研究有限.
- 识别BHC服务的障碍对于改善健康结果至关重要.
研究的目的:
- 探索多层次的障碍,影响到BHCs内的基本医疗保健服务的获取和提供.
- 了解影响菲律宾初级医疗保健服务的社会生态决定因素.
主要方法:
- 使用社会生态模型作为框架的定性方法.
- 焦点小组采访了来自全国6个BHC的18名巴拉加健康工作者 (BHW).
- 半结构面试与4名公共卫生护士进行数据三角化,然后进行主题分析.
主要成果:
- 在个人 (动机,感知需求),人际 (培训,沟通),机构 (资源,问责),社区 (支持,传统信仰) 和政策 (统一性,基础设施) 层面上确定了障碍.
- 具体的挑战包括员工的动力,缺乏资源,以及社区对传统治疗师的依赖.
- 政策和基础设施的差异进一步阻碍了有效的医疗保健服务.
结论:
- 了解多层次决定因素对于开发有效的社区健康促进干预措施至关重要.
- 需要一个全面的协作计划,涉及医疗保健提供者,社区领导人和决策者,以解决已识别的障碍.
- 解决这些多维障碍可以改善菲律宾贫困人口获得初级医疗保健的机会.
关键词:
亚洲和太平洋岛屿居民.菲律宾 菲律宾 菲律宾 菲律宾 菲律宾 菲律宾 菲律宾塔加洛格语是塔加洛格语的意思.障碍物 障碍物 障碍物社区社区社区社区社区社区社区社区社区聚焦小组是一个重点小组.医疗保健 医疗保健 医疗保健获得医疗保健 获得医疗保健提供医疗保健服务.社会生态框架 社会生态框架社会生态模型社会生态模型专题分析 专题分析更多相关视频
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