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医生对进行新生儿割礼的看法:障碍和机会
Emilie K Johnson1,2, Ilina Rosoklija3, Ryan F Walton3
1Division of Pediatric Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave Box 24, Chicago, IL, 60611, USA. ekjohnson@luriechildrens.org.
Maternal and child health journal
|November 3, 2023
概括
医生采访显示,后勤和报销问题阻碍了新生儿割礼的准入,特别是对于少数民族和公共保险婴儿. 解决这些障碍对于确保所有希望接受手术的家庭获得公平护理至关重要.
科学领域:
- 医学伦理学医学伦理学
- 公共卫生 公共卫生
- 儿科外科手术 儿科外科手术
背景情况:
- 新生儿割礼在美国很常见,但存在差异.
- 公共保险和黑人/非洲裔美国人婴儿的机会减少了.
- 这种不平等将风险更高,成本更高的割礼集中在特定人群中.
研究的目的:
- 探索围产期医生对新生儿割礼障碍的看法.
- 确定促进者,以改善获得新生儿割礼的机会.
- 为公平提供新生儿割礼的战略提供信息.
主要方法:
- 与芝加哥地区医院的23名医生进行的定性访谈 (2020年4月至6月).
- 参与者包括儿科医生,家庭医学医生和产科医生.
- 使用归纳和演编码进行主题分析,确定了障碍物和促进者.
主要成果:
- 医生报告说,程序后勤,临床医生的可用性和培训存在挑战.
- 报销政策被认为有助于在经济上阻碍住院新生儿割礼.
- 医生对保险覆盖的了解有限,但他们认识到有财务障碍.
结论:
- 后勤,运营和退款问题阻碍了公平的新生儿割礼接入.
- 未来的战略必须解决临床和政策层面的障碍.
- 激励临床医生和医院是确保渴望家庭获得公平机会的关键.
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