促进加拿大土著人民的健康公平:开发一个患者复杂性评估框架
Anika Sehgal1, Rita Henderson2, Adam Murry3
1Department of Family Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, Canada. anika.sehgal@ucalgary.ca.
BMC primary care
|April 29, 2024
概括
开发了一个新的以土著为中心的患者复杂性评估框架,以解决加拿大城市土著患者的独特健康需求. 该工具有助于医疗保健提供者更好地了解和管理患者的复杂性,并结合了健康的文化和社会决定因素.
科学领域:
- 土著健康土著健康
- 患者复杂性评估的评估
- 健康 公平 卫生 公平
背景情况:
- 殖民化导致了土著患者的复杂健康需求.
- 当前的医疗保健系统很难识别和解决这些复杂问题.
- 需要一种以土著为中心的患者评估方法.
研究的目的:
- 开发一个以土著为中心的患者复杂性评估框架.
- 专门解决加拿大城市土著患者的需求.
- 为了改善这一群体的医疗保健服务.
主要方法:
- 关于患者复杂性的文献综述.
- 采访土著患者以捕捉生活经验.
- 修改了与14位土著健康专家的e-Delphi共识过程.
主要成果:
- 完成了一个框架,包括9个领域的27个概念.
- 领域包括生物,社会,健康素养,心理,功能,医疗保健准入,不良生活经历,弹性和文化以及医疗保健暴力.
- 该框架是为城市土著患者设计的.
结论:
- 该框架确定了土著患者健康复杂性的关键组成部分.
- 它为医疗保健提供者提供了一个参考,以告知医疗保健提供.
- 它推进了患者复杂性评估工具,并有助于缓解种族主义.
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