宿舍支持工作者与无家可归者一起驾医疗保健的经历:英国的一项定性研究
Iman Muzafar1,2, Oliver Cunningham3,4
1Imperial College London, London, UK iman.muzafar@kcl.ac.uk.
BMJ open
|September 23, 2024
概括
宿舍支持工作者 (HSWs) 在帮助无家可归者 (PEH) 获得医疗保健时面临耻辱和断开系统. 改善跨部门合作是改善PEH获得医疗保健和获得更好的结果的关键.
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
- 包容 健康 卫生 包容 卫生
背景情况:
- 经历无家可归的人 (PEH) 面临着获得医疗保健的重大障碍,并经历了更差的健康结果.
- 宿舍辅助工作者 (HSW) 在弥合PEH与健康和社会护理服务之间的差距方面发挥着至关重要的作用.
- 对于PEH的医疗保健系统导航HSW的经验仍然未被充分探索.
研究的目的:
- 探索HSW在为无家可归者 (PEH) 导航医疗保健系统中的经验.
- 了解HSW和医疗保健工作人员之间跨部门合作的挑战和促进者.
- 确定HSW如何有助于改善PEH获得医疗保健的机会和结果.
主要方法:
- 使用半结构面试进行的定性研究.
- 面试数据的现象学主题分析.
- 在英国四个县的13个宿舍中与17名HSW进行了采访.
主要成果:
- 医疗保健工作者报告说,他们经历了医疗保健工作人员的耻辱,包括权力不平等以及耻辱对PEH的影响.
- 高频率工作者描述了跨不同部门工作的协作和脱节经验.
- 作为PEH和医疗保健之间的联系",接触"服务的有效性各不相同,有些人认为它不切实际.
结论:
- 宿舍和医疗保健之间的跨部门合作对于改善PEH获得医疗保健至关重要.
- 了解HSW的经验对于制定有效的战略来解决边缘化人口的医疗保健不平等问题至关重要.
- 综合护理系统提供了一个促进更好的合作和改善PEH结果的机会.
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