探索是否以及如何让遭受高贫困的人获得诊断服务:质量系统性审查
Christine Vincent1, Lee-Ann Fenge1, Sam Porter1
1Department of Social Sciences and Social Work, Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
了解英国贫困人口使用诊断服务是复杂的. 信念,情绪和实际因素相互作用,影响获得医疗保健的决策,突出需要量身定制干预措施.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
- 健康上的不平等 卫生上的不平等
背景情况:
- 在英国,诊断健康不平等仍然存在.
- 了解贫困人口获得诊断服务的障碍至关重要.
研究的目的:
- 调查在英国高贫困人口中使用诊断服务的决定因素.
- 确定影响弱势群体获得诊断服务的因素.
主要方法:
- 对三个数据库 (EBSCO,科学网络,SCOPUS) 进行了系统审查.
- 包括的研究重点是直接参与者对英国高度贫困个体诊断获取障碍和促进者的观点.
主要成果:
- 包括18项研究,揭示了15个子主题,分为信念和行为,情绪/心理因素和实际因素.
- 一个概念模型说明了这些因素之间的代相互作用,影响了访问诊断服务的决定.
结论:
- 贫困人口使用诊断服务的决策是复杂的,并受到相互作用因素的影响.
- 开发的概念模型可以为政策和实践提供信息,用于设计有针对性的干预措施,以改善获取.
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