开普敦低收入地区儿童获得医疗保健:一种混合方法的案例研究
Luke B Profitt1, Graham Bresick, Liezel Rossouw
1Department of Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town; and Western Cape Government Health and Wellness, Cape Town. lukeprofitt@gmail.com.
在开普敦,由于进入障碍,许多儿童死亡发生在医院外. 改善社区服务,交通和诊所时间可以帮助减少5岁以下的死亡率.
科学领域:
- 公共卫生 公共卫生
- 儿科死亡率 儿科死亡率
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 在开普敦,5岁以下的死亡率已经稳定在每1000个活产儿中有20个.
- 60%的儿童死亡发生在医院外,南部分区占这些死亡的31%.
- 医院外死亡的高负担需要对潜在的进入障碍和促进者的调查.
研究的目的:
- 揭露导致开普敦医院外儿童死亡的进入障碍和促进者.
- 探索社区对儿童死亡率的看法.
- 制定基于共识的建议,以改善获得医疗保健的机会.
主要方法:
- 探索性混合方法案例研究设计.
- 对62名社区成员进行量化调查.
- 与11名护理人员进行半结构面试,并与11名卫生工作者进行名义小组技术 (NGT).
主要成果:
- 在接受调查的社区成员中,有74%的人经历了获得护理的障碍.
- 确定的主要障碍包括可负担性,可接受性,家庭和设施因素.
- 卫生工作者建议改善社区服务,交通和延长服务时间.
结论:
- 确定了儿童获得医疗保健的多个障碍.
- 研究了解决这些障碍的促进者,重点是以社区为基础的解决方案.
- 医疗保健规划人员应解决地理特异性障碍,以减少儿童死亡率.
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