质量评估CIH机构与弱势社区的接触,以提高医疗保健的获取和利用
Nipher Malika1, Patricia M Herman1, Margaret Whitley1
1RAND Corporation, Santa Monica, CA, USA.
Global advances in integrative medicine and health
|March 28, 2024
概括
互补和整合性健康 (CIH) 机构正在积极努力改善边缘化社区的获取. 然而,资金和资源分配等挑战阻碍了增加CIH利用率的进展.
科学领域:
- 综合医学是一个整体的医学.
- 公共卫生差异 公共卫生差异
- 卫生公平性健康公平性
背景情况:
- 补充和整合性健康 (CIH) 方法的不足利用在北美非白人和边缘化社区中很普遍.
- 在这些人群中,对CIH的获取和使用的现有差异仍然存在.
研究的目的:
- 调查CIH教育机构采用的主动策略,以解决获得和利用方面的差异.
- 了解这些机构如何与边缘化社区互动和服务.
主要方法:
- 定性研究涉及采访来自美国和加拿大的13家CIH机构的26名关键信息人.
- 使用演编码对采访成绩单进行主题分析.
主要成果:
- CIH机构有着社区参与的护理和故意设计的外展计划的历史.
- 机构为各种人口提供多样化的服务,并通过社区伙伴关系展示了积极的影响.
- 显著的挑战包括资金,人员和COVID-19的影响,以及在服务和伙伴关系中已知的差距.
结论:
- CIH机构表现出致力于改善服务不足社区获得医疗保健的承诺.
- 资金,资源分配和问责制等障碍阻碍了充分弥补CIH利用差异的努力.
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