无家可归和医疗保健中的耻辱:来自西班牙巴塞罗那住房优先计划的反思
Marta Llobet-Estany1, Mercedes Serrano-Miguel2, Araceli Muñoz3
1Doctora en Sociología. Docente e investigadora, Unitat de Formació i Recerca - Escola de Treball Social, Universitat de Barcelona, España.
Salud colectiva
|July 5, 2024
概括
巴塞罗那的无家可归者
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 医疗保健政策 医疗保健政策
背景情况:
- 无家可归经常伴随着严重的社会耻辱.
- 这种耻辱影响了无家可归者如何受到医疗保健专业人员和系统的治疗.
- 巴塞罗那的"Primer la Llar"计划使用"住房第一"模式,为患有严重精神障碍和/或成的人提供住房.
研究的目的:
- 分析巴塞罗那Primer la Llar计划参与者的医疗保健经验.
- 调查耻辱对无家可归者的医疗保健获取和质量的影响.
- 了解住房优先模式如何影响健康结果和感知护理.
主要方法:
- 定性研究涉及20次与Primer la Llar参与者的深入采访.
- 采访是在2016年至2020年之间进行的.
- 分析的重点是参与者对医疗保健和耻辱感的看法.
主要成果:
- 参与计划,住房,专业支持和自主开发的策略对一些参与者的健康产生了积极影响.
- 尽管情况有所改善,但参与者在某些医疗环境中继续遭受歧视.
- 住房优先模式显示了对健康和福祉的潜在好处.
结论:
- 解决耻辱需要一个全面的方法,涉及个人,机构和社会.
- 虽然住房干预可以改善健康状况,但需要进行系统性改变,以打击医疗保健歧视.
- 需要进一步的研究,才能充分理解和减轻耻辱对弱势群体医疗保健的长期影响.
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