社区和医疗保健对多民族安全网人口实施高血压干预措施的观点
Utpal N Sandesara1, Savanna L Carson1, Alex Dopp2
1Division of General Internal Medicine and Health Services Research, University of California-Los Angeles, Los Angeles, CA.
Ethnicity & disease
|June 7, 2024
概括
社区和医疗保健的观点对于实施高血压管理实践至关重要. 调整干预措施以应对社会需求和系统层面的因素,有助于促进对不同人群的公平照顾.
科学领域:
- 实施科学 实施科学
- 健康 公平 卫生 公平
- 基于社区的参与式研究
背景情况:
- 基于证据的高血压 (HTN) 实践 (EBP) 的高质量,可持续的实施对于公平的护理至关重要.
- 对于HTN管理的实施挑战跨越多个上下文层面,超越个体患者.
- 有限的研究系统地参与了社区和医疗保健的观点,以告知HTN干预试验设计.
研究的目的:
- 综合社区和医疗保健信息人员对影响高血压管理的上下文因素的观点.
- 收集建议,以量身定制基于证据的实践,在多民族安全网人口中实现高质量,可持续的实施.
主要方法:
- 与种族/种族特定的社区行动委员会 (CAB) 进行了结构化讨论.
- 与41名医疗保健系统人员进行了半结构化的定性访谈.
- 使用快速内容分析来总结发现和EBP定制建议.
主要成果:
- 确定了七个背景考虑的关键主题:社会决定因素,医疗保健参与,临床互动,系统操作,标准化,患者教育和伙伴关系/资金.
- 创建了9个主题来定制建议,包括解决复杂的背景,社会需求,系统操作,语言/文化适应和社区伙伴关系.
结论:
- 参与社区和医疗保健信息人员的参与,在不同患者的多方面的背景下奠定了实施策略的基础.
- 将不公平的实施重新定义为一个多层次的社会问题,而不是个人问题,对于有效的干预至关重要.
- 这种方法支持在安全网设置中开发可持续和公平的高血压管理计划.
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