改善原住民紧急服务部门公平性的干预措施:一个范围审查
Davis MacLean1, Kimberley D Curtin2, Cheryl Barnabe1,3
1Department of Medicine, Health Sciences Centre, University of Calgary, Calgary, Alberta, Canada.
概括
很少有干预措施可以改善急诊室 (ED) 对土著患者的护理公平性. 未来的努力应该集中在系统层面的变化上,而不仅仅是新的临床角色,以解决健康差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 土著健康土著健康
- 健康 公平 卫生 公平
背景情况:
- 土著人口经历了显著的健康差异,包括更高的慢性病率和更低的预期寿命.
- 紧急诊所 (ED) 可以加剧社会不平等,因为迫切的患者需求和提供者压力.
- 白人定居者殖民主义影响了加拿大,美国,澳大利亚和新西兰的土著人民的健康结果.
研究的目的:
- 系统地绘制EDs中的干预方案,旨在提高土著患者的护理公平性.
- 确定基于ED的干预措施的类型和范围,以解决土著健康公平问题.
主要方法:
- 根据阿克西和奥马利的指导方针以及乔安娜·布里格斯研究所的建议,进行了范围审查.
- 在主要数据库中进行了系统的文献搜索:MEDLINE,CINAHL,SCOPUS和EMBASE.
- 选涉及3636篇文章的标题/摘要,随后对32篇文章进行了全文审查.
主要成果:
- 审查中包括了9篇文章,详细介绍了7种不同的干预措施.
- 确定的干预措施分为三个类别:新的临床作用,慢性疾病查计划和系统/组织层面的变化.
- 有限数量的干预专注于组织层面的改进.
结论:
- 旨在改善针对土著患者的ED护理公平性的干预措施很少.
- 未来的干预措施应优先考虑系统层面的变化,可能与新的临床角色一起,以有效解决健康不平等问题.
- 针对组织和系统因素对于在紧急护理环境中推进土著健康平等至关重要.
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