与延迟护理相关的因素在积极参与初级护理的女性退伍军人中
Kimberly S Clair1, Bevanne Bean-Mayberry1,2, C Amanda Schweizer1
1VA Health Service Research and Development, Center for the Study of Healthcare Innovation, Implementation, and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
Journal of women's health (2002)
|February 22, 2024
概括
经历心理健康症状或创伤的退伍军人更有可能延迟需要的医疗护理. 解决这些因素对于改善医疗保健准入和减少这一群体的差异至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 妇女健康 妇女健康
- 心理健康服务 心理健康服务
背景情况:
- 延迟医疗护理会增加健康风险和成本.
- 女性 复杂需求的退伍军人面临着及时医疗保健的重大障碍.
- 在女性退伍军人中,在获得医疗保健方面的差异仍然存在.
研究的目的:
- 为了比较女性退伍军人延迟护理的特征,与没有延迟护理的女性退伍军人进行比较.
- 确定与女性退伍军人自我报告的延迟护理相关的因素.
- 为旨在消除妇女获得医疗保健差异的干预提供信息.
主要方法:
- 邮寄调查对253名从事退伍军人事务 (VA) 初级护理的女退伍军人进行了调查.
- 该研究检查了包括对VA提供者的信任,心理健康查,创伤经历,自我评估健康和年龄在内的因素.
- 多变量逻辑回归被用来建模与延迟护理相关的因素.
主要成果:
- 超过三分之一的受访女性退伍军人报告说,他们推迟了护理.
- 患有心理健康症状的退伍军人延迟护理的可能性是2.42倍.
- 有创伤史的女性退伍军人延迟护理的可能性是2.61倍.
结论:
- 心理健康症状和创伤经历是女性退伍军人中延迟护理的重要预测因素.
- 延迟护理的高率凸显了有针对性的干预措施的需要.
- 解决心理健康和创伤问题对于改善妇女退伍军人获得和保留医疗保健至关重要.
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