低收入和中等收入国家 (LMICs) 获得辅助产品的障碍
Arne H Eide1, Sébastien Muller1, Wei Zhang2
1Sintef Digital, Norway.
Studies in health technology and informatics
|August 28, 2023
概括
世界卫生组织 (WHO)
科学领域:
- 全球健康 全球健康
- 辅助技术 辅助技术 辅助技术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 世界卫生组织 (WHO) 在2021年进行了快速辅助技术评估 (rATA).
- 这项调查收集了35个国家的辅助技术 (AT) 使用,需求和访问障碍的数据.
- 该研究重点关注32个低收入和中等收入国家 (LMICs),以通过标准化的世卫组织指导方针和国家随机抽样来确保可比数据.
研究的目的:
- 评估自我报告的使用情况,需求以及全球获取辅助产品的障碍.
- 识别不同国家和人口统计数据中旅行时间的变化以及对辅助产品的访问障碍.
- 为改善国家特定服务发展提供信息,以改善AT接入.
主要方法:
- 在35个国家使用国家两阶段随机抽样进行的家庭调查.
- 收集自行报告的旅行距离数据,以获得主要的辅助产品.
- 分析自我报告的进入辅助产品的障碍,包括负担能力,可用性和支持.
主要成果:
- 获得辅助产品的旅行距离存在显著差异,农村人口面临更长的旅程.
- 获得辅助产品的主要障碍是"负担不起" (39.9%),其次是"没有支持" (14.3%) 和"不可用" (8.1%).
- 与城市居民和男性相比,农村居民和妇女报告了更多的障碍和更长的旅行时间.
结论:
- 旅行时间和通行障碍的重大国家特定变化需要定制的服务开发.
- 解决负担能力,可用性和支持对于改善辅助产品获取至关重要.
- 需要有针对性的干预措施来克服障碍,特别是针对农村人口和妇女.
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