在大都市医院获得类风湿病服务的第一民族经验:一种定性研究
Taylor Cullen1,2, Miki Griffith3, Arvin Damodaran2,4
1School of Population Health, Faculty of Medicine and Health, UNSW, Sydney, Australia.
概括
由于系统性问题,澳大利亚原住民面临着获得类风湿病治疗的重大障碍. 需要共同设计的服务来改善类风湿性疾病的健康结果.
科学领域:
- 类风湿病学 类风湿病学
- 土著健康土著健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 澳大利亚原住民的风湿性疾病负担不成比例.
- 现有的护理模式往往无法满足第一民族人民的独特需求和观点.
- 在研究评估从第一民族的角度来看,类风湿病的护理模式存在一个关键的差距.
研究的目的:
- 描述澳大利亚第一民族居民进入医院成年类风湿病学服务的经历.
- 识别障碍物和推动者,在这个服务的护理.
- 为文化安全和响应性风湿病治疗的发展提供信息.
主要方法:
- 使用半结构面试对参加悉尼风湿病诊所的第一民族患者进行定性研究.
- 采用了文化上适当的制方法,由土著卫生工作者 (AHW) 提供便利.
- 主题分析是与原住民参考小组 (ARG) 合作进行的.
主要成果:
- 关键障碍包括转诊的后勤挑战,临床环境中缺乏文化安全,文化间沟通不佳.
- 促成因素包括家庭参与,AHW的支持和远程医疗的使用.
- 在四个类别中确定了11个主题,突出了护理获取的系统性问题.
结论:
- 目前的类风湿病治疗模式对澳大利亚第一民族居民来说带来了重大准入挑战.
- 解决延迟转诊问题,提高文化响应能力和加强跨文化沟通至关重要.
- 与第一民族人民共同设计新的护理模式对于公平的健康结果至关重要.
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