建议解决乌干达残疾人获得医疗保健的障碍:一种定性研究
Andrew Sentoogo Ssemata1,2, Tracey Smythe3,4, Slivesteri Sande5
1Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda. andrew.ssemata@mrcuganda.org.
BMC health services research
|August 31, 2024
概括
乌干达农村的残疾人为医疗保健接入障碍提出解决方案,强调倡导,培训和包容性服务. 这些患者报告的建议旨在改善健康公平,减少残疾人死亡率.
科学领域:
- 公共卫生 公共卫生
- 关于残疾人的研究.
- 卫生系统研究 卫生系统研究
背景情况:
- 在全球范围内,有13亿残疾人面临着严重的医疗保健接入障碍,导致健康状况较差,死亡率更高.
- 关于患者报告的改善残疾人医疗保健策略的研究有限.
- 本研究通过探索改善乌干达农村残疾人获得医疗保健的解决方案来解决这一差距.
研究的目的:
- 探索患者报告的解决方案和建议,以克服乌干达农村残疾人面临的医疗保健准入障碍.
- 为更具包容性的医疗保健系统确定需求侧和供应侧战略.
主要方法:
- 在乌干达卢卡区与各种残疾人进行了27次半结构面试 (2022年9月至11月).
- 包括有视觉,身体,听力,智力/认知障碍,多重残疾和白化症的参与者.
- 采用转录的采访进行主题分析,利用"失踪的十亿残疾包容性卫生系统框架"进行分类.
主要成果:
- 需求侧解决方案:宣传,宣传,社会经济赋权和社区医疗服务.
- 供应侧解决方案:医疗保健工作者关于残疾的培训,包容性对话,雇用残疾医疗工作者.
- 系统性改进:提高了可访问性,合理的住宿,包容性服务 (例如,特殊的诊所日),管理层中的代表,以及负担得起的康复/辅助设备.
结论:
- 残疾人已经确定了多方面的解决方案,强调了医疗保健获取挑战的复杂性.
- 综合和可持续的干预措施对于解决这些障碍至关重要.
- 政策制定者和医疗保健提供者必须优先考虑包容残疾的做法和多维方法,以创造一个公平的医疗保健环境.
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