初级保健提供者的经验推和执行子宫癌查智力障碍妇女:一个定性研究
Michele S Lee1, Arden D Day2, Tamsen L Bassford3
1Institute for Human Development, Northern Arizona University, 912 W Riordan Road, Flagstaff, AZ, 86011, USA. michele.lee@nau.edu.
初级保健提供者 (PCP) 建议对智力和发育障碍 (I/DD) 的女性进行宫癌查 (CCS),但后续情况各不相同. 提高PCP对I/DD特定护理的知识可以提高查率.
科学领域:
- 公共卫生 公共卫生
- 妇女健康 妇女健康
- 关于残疾人的研究.
背景情况:
- 智力和发育障碍 (I/DD) 的妇女在获得医疗保健方面存在差异,包括宫癌查率较低 (CCS).
- 初级保健提供者 (PCP) 对于促进所有女性的CCS至关重要,但对于那些患有I/DD的人来说,存在特定的挑战.
研究的目的:
- 探索影响PCP建议和CCS对I/DD妇女的表现的因素.
- 确定为这群人提供CCS的障碍和促进者.
主要方法:
- 使用深入的,半结构化的采访对13名PCP进行定性研究,主要来自家庭医学.
- 诱导性数据分析以确定PCP决策中的反复出现的主题和模式,这些主题和模式涉及ICS与I/DD的女性.
主要成果:
- 大多数PCP报告推CCS,但一致的表现各不相同.
- PCP旨在使CCS建议与指南保持一致,采用个性化风险效益评估和患者/家庭咨询.
- 由于报告的I/DD特定培训缺陷,PCP经常依赖与类似人群的经验.
结论:
- 虽然PCP努力提供CCS,但关于I/DD特定护理的知识差距构成了障碍.
- 需要针对PCP进行有针对性的教育和培训,以改善ICS率和I/DD妇女的结果.
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