探索有效的COVID-19风险缓解,恢复和慢性疾病自我管理的障碍:一个有质量的多层次视角
Gayenell S Magwood1,2, Charles Ellis3, Chanita Hughes Halbert4
1Department of Biobehavioral Health and Nursing Science, University of South Carolina, Columbia, SC, USA.
在COVID-19护理中的种族不平等凸显了系统性障碍. 解决社会决定因素,确保对幸存者和护理伙伴的公平支持,对于康复和慢性疾病管理至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 定性研究是指质量研究.
背景情况:
- COVID-19 疫情加剧了现有的健康种族和种族差异.
- COVID-19结果的差异反映了其他疾病中出现的差异,突出了系统性问题.
- 人们对风险暴露和获得医疗保健对弱势群体的影响有了更多的认识.
研究的目的:
- 调查COVID-19幸存者及其护理伙伴健康的社会和结构性决定因素.
- 探讨医疗保健利益相关者对大流行相关干扰的观点.
- 了解在医疗保健系统中的种族,种族,地理和健康的交叉性.
主要方法:
- 针对面试 (n=9) 和重点小组 (n=10) 进行了有目的的抽样.
- 收集了关于COVID-19风险减轻,恢复和慢性疾病自我管理障碍的数据.
- 包括各种各样的参与者:护士,医生,COVID-19幸存者,护理合作伙伴,公共卫生官员和南卡罗来纳州农村社区领导人.
主要成果:
- 确定了五个主要主题:COVID-19增加的健康挑战,缺乏护理,需要幸存者/护理伙伴支持,公平分配支持,以及种族主义/结构问题的压力影响.
- 研究小组所感知的突出优势,机会和不平等.
- 揭示了风险减轻,恢复和慢性疾病自我管理方面的重大挑战.
结论:
- 这是第一个关于COVID-19幸存者-护理伙伴对象的定性研究,检查了种族,种族,地理和健康相互作用.
- 这些发现强调了在所有社会生态层面预防传染病的必要性.
- 强调需要解决医疗保健提供和支持系统中的系统和结构性不平等问题.
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