英格兰的包容性健康小组对注册初级保健的看法:混合方法研究
Ada Humphrey1, Lucy Fagan2, Elspeth Carruthers3
1Centre for Public Health Data Science, Institute of Health Informatics, University College London, London, UK; London School of Hygiene & Tropical Medicine, London, UK.
面对无家可归和其他挑战的人在英国面临着获得初级保健的障碍. 一对一的支持和推广是改善这些包容性健康群体的全科医生注册和获取机会的关键.
科学领域:
- 公共卫生
- 医疗服务研究
- 健康的社会决定因素
背景情况:
- 全国卫生服务 (NHS) 的初级保健服务为所有英国居民免费提供.
- 证据表明弱势群体被拒绝获得医疗保健.
- 包容性健康团体在初级保健注册和可访问性方面面临重大挑战.
研究的目的:
- 探讨来自包容性健康团体的个人对初级保健注册的看法.
- 确定缺乏服务的群体获得全科医生服务的障碍和促进因素.
- 为改善弱势群体获得初级保健服务的干预措施提供信息.
主要方法:
- 一项混合方法的研究,包括调查和采访移动医疗服务的服务用户.
- 参与者包括有过无家可归,寻求庇护,成,性工作和非法移民的个人.
- 通过宿舍,庇护者住宿中心和日间庇护所进行招聘,同行研究人员参与其中.
主要成果:
- 超过一半的受访者 (51%) 认为他们获得的初级保健服务很好,但35%的人表示存在障碍.
- 障碍包括缺乏理解,沟通不良,对歧视的恐惧和数字排斥.
- 由于可立即使用而没有事先注册,因此使用紧急服务.
结论:
- 登记障碍与个人和群体特征有关,突显了包容性健康群体内的不同需求.
- 在注册过程中提供额外的支持对于改善获得初级保健服务至关重要.
- 一对一的支持,外展和专业的全科医生服务为弱势群体提供注册和获取服务.
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