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在印度卫生服务部门内的神经护理
Karen Parko1, Michael Stitzer2,3, Brian Trimble4
1Department of Neurology, University of California at San Francisco, San Francisco, California.
Seminars in neurology
|March 18, 2024
概括
美国印第安人和阿拉斯加原住民 (AI/AN) 在获得专门的神经病治疗方面面临着差异. 在印度卫生服务 (IHS) 中投资全职,现场神经病学提供者可以为这些服务不足的人群创造可持续的医疗保健解决方案.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 神经学 神经学
- 土著健康土著健康
背景情况:
- 美国印第安人和阿拉斯加原住民 (AI/AN) 是美国的土著人民,有着不同的文化和历史.
- 与美国政府签订的条约规定了医疗保健的承诺,导致了印度卫生服务 (IHS).
- 人群,特别是农村或偏远地区的人群,在获得专门的神经病治疗方面遇到重大障碍.
研究的目的:
- 审查IHS中40年的神经病治疗的情况.
- 为在边缘化AI/AN人群中启动可持续的神经学护理提出建议.
- 讨论IHS,其神经系统护理模型,以及AI/AN社区中普遍存在的神经系统疾病.
主要方法:
- 审查印度卫生服务 (IHS) 内历史的神经学护理的提供.
- 分析医疗保健提供模式,包括中级提供者扩展和传统医疗保健.
- 在AI/AN群体中检查精选的神经诊断.
主要成果:
- IHS为37个州的574个联邦公认部落中的大约270万名AI/AN提供医疗保健.
- 由IHS开发了新的解决方案,以改善对包括神经病在内的专业护理的获取.
- 最初对全职,现场神经病学提供者的投资明显提高了IHS内的神经病学护理的稳定性.
结论:
- 稳定,现场全职神经病学服务对于在边缘化人口中建立可持续的神经病学护理至关重要.
- IHS模型展示了其他服务不足的社区改善获得专业神经服务的可行途径.
- 持续投资和神经病学服务的战略实施对于解决AI/AN人群的医疗保健差异至关重要.
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