在寻求乳腺癌早期检测服务的同时,认识到社会文化障碍:来自印度全民健康覆盖设置的研究
Riya Sawhney1, Priyansh Nathani1, Priti Patil2
1WHO Collaborating Centre for Research in Surgical Care Delivery in Low and Middle-Income Countries, Mumbai, India.
BMC cancer
|September 19, 2023
概括
家庭结构和信任等社会文化因素显著影响印度乳腺癌早期检测. 解决这些障碍对于提高查计划有效性至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 乳腺癌是印度女性最常见的癌症,早期检测率较低,导致晚期诊断和高死亡率.
- 可访问性和可负担性通常被认为是障碍,但本研究考察了在普遍健康覆盖 (UHC) 环境中社会文化影响,这些影响得到了缓解.
研究的目的:
- 分析影响印度乳腺癌早期检测计划的社会文化因素.
- 在UHC框架内识别超越地理和财务限制的障碍.
主要方法:
- 一项随机对照试验,比较了272名基于意识的早期检测计划 (P组) 的参与者和272名非参与者 (NP组).
- 采访采用19点问卷,评估人口统计,社会,文化,精神和与信任有关的障碍.
主要成果:
- 在两组中,乳腺癌的总体意识很高;没有报告的可访问性障碍.
- 与非参与者相比,参与者受过更高的教育,来自核家庭.
- 尽管有更多的因耻辱而导致的孤立恐惧报告,但参与者表现出更高的乳腺癌知识和对卫生系统的信任.
结论:
- 联合家庭制度,低教育水平和对医疗保健专业人员缺乏信任是早期发现乳腺癌的重大社会文化障碍.
- 识别和解决这些特定背景的社会文化障碍对于改善查普及至关重要,因为各国正在朝着UHC迈进.
相关概念视频
Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
Introduction To Health Care Delivery System
2.8K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.8K
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K


