文化多样化的社区参与初级保健研究
Judith Bedzo-Nutakor1, Mohammed Islam1, Elliott Hyde1
1Streatham Place Surgery.
概括
少数民族在初级保健研究中代表性不足. 改善患者和公众参与需要解决意识,信任和沟通障碍,以确保公平参与研究.
科学领域:
- 初级保健研究研究初级保健研究
- 健康 公平 卫生 公平
- 社区参与 社区参与
背景情况:
- 少数民族和低收入群体在初级保健 (PC) 研究中的代表性不足限制了适用于不同人群的治疗方法的开发.
- 解决参与研究的差异对于促进健康公平至关重要.
研究的目的:
- 为一般实践人员和研究人员制定一个框架,以加强受服务不足的人群在PC研究中的参与.
- 在初级保健研究中确定改善招募和留住多样化的参与者的策略.
主要方法:
- 在伦敦南部的10个种族多样化和贫困的GP实践中采用了混合方法方法.
- 收集了患者参与的回顾性数据 (2022年7月至2023年7月).
- 专业和患者重点小组,以及患者问卷,探索了参与研究的认识,推动因素和障碍.
主要成果:
- 黑人非洲和黑人加勒比地区患者的代表性明显不足 (11%的参与者与26%的患者人口相比).
- 亚洲背景的患者占比过高 (20%的参与者与患者总数的11%相比).
- 关键障碍包括缺乏意识,害怕副作用,语言问题和不信任;对全科医生的信任,教育和透明度被确定为促进者.
结论:
- 初级保健研究在招募特定少数民族方面面临挑战.
- 研究参与的调整是必要的,以提高参与度,并确保PC研究反映了人口的多样性.
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