改善严重和多重不利的人员获得通用诊所的机会:一个现实的审查协议 (连接研究)
Lucy Potter1, Lorraine McDonagh2, Jeremy Horwood1,3
1Centre for Academic Primary Care, University of Bristol, Bristol, England, BS8 2PN, UK.
Wellcome open research
|December 11, 2023
概括
严重和多重不利 (SMD) 的人面临着进入全科医院的障碍. 这篇现实主义评论探讨了改善这一弱势群体获得初级保健的干预措施.
科学领域:
- 公共卫生 公共卫生
- 一般实践 一般实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 严重多重不利的人 (SMD) 经历了重大的未满足的健康需求.
- 对于SMD患者来说,获得通用诊所的机会特别糟糕,包括无家可归,药物滥用,心理健康问题和家庭虐待.
- 了解影响医疗准入的因素对于改善医疗保健公平至关重要.
研究的目的:
- 检查有关干预和日常护理方面的证据,影响SMD患者获得通用诊所的机会.
- 确定这些因素如何增加或减少访问,考虑到特定的背景和患者群体.
- 为旨在提高SMD患者获得初级保健的干预措施的发展提供信息.
主要方法:
- 将采用一种现实的审查方法,涉及五个阶段:理论识别,证据搜索,文章选择,数据收集和现实的综合.
- 将包括已发表的研究和当地实施文件,以提供全面的分析.
- 与利益相关者团体的合作,包括有SMD实践经验的个人,将指导审查过程.
主要成果:
- 该审查旨在综合有关SMD患者通用诊所接入方便者和障碍者的证据.
- 调查结果将阐明干预措施在特定背景下影响访问的机制.
- 该研究将确定哪些干预措施对SMD人口的不同亚组最有效.
结论:
- 综合证据将突出一般实践中严重和多重不利情况的个人获取的关键决定因素.
- 这些发现将有助于开发有针对性的,复杂的干预措施,以改善这一群体的初级保健参与度.
- 这项研究支持减少SMD患者所经历的健康不平等的努力.
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