在奎隆博拉社区的医疗保健治疗路线
Rafael Fernandes Gomes1, Pâmela Scarlatt Durães Oliveira1, Maria Luiza Oliveira Silva2
1Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Montes Claros. Av. Rui Braga s/n, Vila Mauricéia. 39401-089 Montes Claros MG Brasil. rafaelfernandes.enf@gmail.com.
Ciencia & saude coletiva
|March 7, 2024
概括
这项研究绘制了巴西农村基隆博拉社区的医疗保健旅程,揭示了文化惯例和种族主义等系统性障碍如何影响医疗保健的获取. 解决这些不平等问题需要有针对性的公共卫生政策.
科学领域:
- 公共卫生 公共卫生
- 医学人类学 医学人类学
- 卫生社会学 卫生社会学
背景情况:
- 巴西农村的奎隆博拉社区面临着独特的医疗保健挑战.
- 了解治疗路线对于公平获得医疗保健至关重要.
研究的目的:
- 在巴西Minas Gerais州北部的Quilombola农村社区绘制医疗寻求行为和治疗路线图.
- 确定影响医疗保健获取和利用的因素.
主要方法:
- 使用18个个人访谈进行定性研究.
- 以治疗路线的理论-方法学框架为指导的分析.
- 数据被组织成三个经验主题:流行,家庭和专业子系统.
主要成果:
- 流行 (草药),家庭 (知识传递) 和专业 (医疗服务) 医疗保健子系统的已识别的组件.
- 由于地理距离,制度种族主义,服务稀缺性和成本,医疗保健的获取受到阻碍.
- 观察到在医疗保健服务方面存在严重的种族,经济和获取不平等.
结论:
- 奎伦博拉人群获得医疗保健是复杂的,受社会决定因素的影响.
- 公共政策必须解决系统性不平等问题,以改善这些社区的医疗保健.
- 干预措施应考虑文化特点和社会经济因素.
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