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一个理论框架来描述社会决定因素作为牙科护理的障碍
Shenam Ticku1, Olivia Watrous2, Danielle Burgess3
1Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Community dentistry and oral epidemiology
|March 1, 2024
概括
三次延迟模型有效地解释了牙科护理获取障碍,识别了沟通,财务和歧视等因素,这些因素延迟了寻求,到达和接受牙科服务. 了解这些延迟对于改善口腔保健使用情况至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 定性研究是一种定性研究.
背景情况:
- 三次延迟模型是一个公认的公共卫生框架,用于分析产科服务的利用率.
- 它确定了延迟的三个阶段:决定寻求护理,到达一个设施,并获得适当的护理.
研究的目的:
- 探索三次延迟模型对牙科服务利用的适用性.
- 在这个框架内,确定导致牙科护理延迟的因素.
主要方法:
- 使用三次延迟模型进行定性框架分析.
- 在马萨诸塞州和佛罗里达州的英语成年人 (18+) 进行半结构化采访,他们的牙治疗机会有限.
- 诱导性主题编码和采访数据的系统组织.
主要成果:
- 三次延迟模型适用于牙科护理利用.
- 延迟#1 (决定寻求护理) 是最常见的延迟报告.
- 相互关联的因素包括沟通,以前的经验,财务问题,时间限制,社会压力因素和歧视 (例如种族主义,耻辱).
结论:
- 三次延迟模型为了解牙科护理障碍提供了一个有用的框架.
- 影响寻求,达到和接受牙科护理的决定的因素是复杂的和相互关联的.
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