服务提供原则:残疾妇女宫检查的最佳实践
Hannah Kuper1, Fahrin Ramadan Andiwijaya2, Sara Rotenberg1
1International Centre for Evidence in Disability, Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK.
International journal of women's health
|April 23, 2024
概括
残疾妇女在宫癌查方面面临重大障碍,导致吸收率较低. 解决知识,物流,耻辱和可访问性对于公平获得医疗保健和消除宫癌至关重要.
科学领域:
- 公共卫生 公共卫生
- 妇科瘤学 妇科瘤学
- 关于残疾人的研究.
背景情况:
- 宫癌查是一个关键的公共卫生倡议.
- 包括残疾妇女在内的边缘化人口经常面临现有查计划的障碍.
- 关于提高残疾女性宫癌查普及率的策略的证据有限.
研究的目的:
- 估计残疾妇女的宫癌查采用的差异.
- 确定对残疾女性查准入的关键障碍.
- 探索解决方案和制定原则,以改善服务提供.
主要方法:
- 更新了一项系统审查,以评估查差异.
- 进行了范围审查,分析障碍,政策纳入和解决方案.
- 制定了提高服务提供能力的关键原则.
主要成果:
- 残疾女性不太可能接受宫癌查 (RR=0.65).
- 障碍包括知识,自主,物流,耻辱和恐惧等问题.
- 很少有指导方针解决残疾问题;改善准入需要关注自主,意识,可负担性,人力资源和设施可访问性.
结论:
- 宫癌查计划必须包括残疾妇女.
- 解决已识别的障碍对于公平的医疗保健至关重要.
- 确保获得查支持健康和宫癌消除的权利.
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