社区对健康公平的看法:一种定性研究
Margaret Salisu1, Tenya Blackwell2, Gwendolyn Lewis3
1Department of Family & Community Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.
Journal of primary care & community health
|November 18, 2023
概括
种族和民族少数群体面临着严重的医疗保健不平等,遭受不信任和歧视. 解决健康的社会决定因素和改善患者体验对于减少健康差异至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生公平研究 卫生公平研究
- 质量健康研究 质量健康研究
背景情况:
- 医疗保健系统表现出明显的不平等,不成比例地影响黑人和移民社区.
- 这些社区的边缘化加剧了不信任,加剧了不良的健康结果,扩大了健康差距.
- 解决患者护理经验的差异对于实现健康公平至关重要.
研究的目的:
- 探索医疗保健系统中来自边缘化社区的患者的生活经历.
- 确定导致医疗保健不平等的关键主题,包括信任,歧视和健康的社会决定因素.
- 为改善医疗保健提供和减少差距的战略提供信息.
主要方法:
- 在布鲁克林中心采用有目的抽样的定性研究.
- 进行了10个重点小组 (44名参与者) 和18个关键告密者采访.
- 招募了62名参与者,以收集有关医疗保健经验的深入观点.
主要成果:
- 出现了三个主要主题:信任,歧视和健康的社会决定因素 (SDOHs).
- 信任的子主题包括对专业人员的信任,提供者同情和共享决策.
- 歧视子主题包括种族主义,身份和耻辱;SDOH强调住房和粮食不安全等障碍.
结论:
- 患者的互动往往是需要驱动的,而不是基于信任的,突出显示系统性断开.
- 歧视和耻辱加剧了有色人种的不良医疗保健体验.
- 承认和解决SDOH对于有效的医疗保健提供和减少不平等至关重要.
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