将残疾人纳入智利卫生政策:政策分析
Danae Rodríguez Gatta1,2, Pamela Gutiérrez Monclus3,4, Jane Wilbur5
1International Centre for Evidence in Disability, Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK. danae.rodriguez@lshtm.ac.uk.
International journal for equity in health
|August 28, 2024
概括
智利的卫生政策提到了残疾人权利,但往往缺乏强有力的承诺. 有效实施需要解决政策缺口,融资和领导力,以确保残疾人获得医疗保健.
科学领域:
- 公共卫生 公共卫生
- 卫生政策分析 卫生政策分析
- 关于残疾人的研究.
背景情况:
- 智利约有18%的人口是残疾人,由于卫生系统的故障,他们面临着严重的医疗保健接入障碍.
- 残疾人有更大的医疗保健需求,但系统性问题阻碍了他们获得必要服务.
研究的目的:
- 评估智利卫生政策文件中对残疾人的纳入.
- 探索利益相关者对政策格局,流程和影响残疾人纳入健康领域的参与者的看法.
主要方法:
- 对12份卫生文件的政策内容分析,使用调整后的EquiFrame框架来评估残疾人包容性和人权承诺.
- 采访15个主要国家利益相关者的专题分析,应用沃尔特和吉尔森政策分析三角形.
主要成果:
- 几乎所有 (92%) 的卫生政策都提到了残疾人权利的概念,但50%的政策承诺很差.
- 预防健康状况是最被反映的概念,而信息隐私是最不被引用的.
- 利益相关者报告说,受生物医学模式影响的残疾人运动和卫生政策分散,由于缺乏资源和监测,优先级有限,实施无效.
结论:
- 在智利制定和实施包括残疾人的健康政策方面,需要取得重大改进.
- 解决政策缺口,资源配置,领导和监测对于实现残疾人获得医疗保健的权利至关重要.
- 确保卫生系统真正"不让任何人落后"需要共同努力,以加强将残疾人纳入政策和实践.
相关概念视频
Community Based Intervention
36
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
36
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Methods of Documentation VI: Case Management Model
564
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
564
Introduction To Health Care Delivery System
2.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.7K
International Nursing Organizations I
1.6K
International Nursing Organization (ICN) is a global union of national nurses' organizations. Individual nurses can be a part of ICN through member organizations. Each member organization strives to ensure quality nursing care, sound health policies, the advancement of nursing knowledge, respect for the profession, and a satisfied and competent nursing workforce.
ICN member organizations work to advance the field of nursing and healthcare via policies, partnerships, lobbying, professional...
ICN member organizations work to advance the field of nursing and healthcare via policies, partnerships, lobbying, professional...
1.6K


