谈论监禁历史:让患者和医疗保健提供者参与沟通
Ankita Patil1, GeorgePatrick J Hutchins2,3, Harika Dabbara4
1Division of Women's Health, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA. apatil11@bwh.harvard.edu.
Journal of general internal medicine
|November 1, 2024
概括
医疗保健提供者认识到监禁对健康的影响,但缺乏信心和培训,以应对以前被监禁的患者.
科学领域:
- 医学社会学 医学社会学
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 被监禁的人群表现出更高的慢性疾病率,通常在释放后持续存在.
- 医疗保健提供者可能缺乏对监禁对健康的影响和患者沟通的培训.
- 了解这些因素对于护理的连续性至关重要.
研究的目的:
- 评估医疗保健提供者的准备情况,以采访患者有关入狱史.
- 评估提供者对管理与监禁相关的健康后果的信心.
主要方法:
- 采用基于网络的,自我管理的问卷进行横截面研究.
- 调查分发给布里格姆和妇女医院的随机样本医疗保健提供者.
- 114名提供者 (医生,医生助理,执业护士) 完成了调查.
主要成果:
- 73%的提供者照顾以前被监禁的患者,但只有8%接受了专门培训.
- 81%的人没有询问监禁史;60%的人说讨论监禁是不舒服的.
- 虽然77%的人认为监禁会影响健康,但64%的人对解决相关需求缺乏信心.
结论:
- 医疗保健提供者承认监禁是健康决定因素,但报告对管理相关患者需求的信心较低.
- 调查结果突出了加强提供者培训的关键需求,以改善对以前被监禁的人的护理.
- 这种培训对于推进健康公平和确保全面的患者护理至关重要.
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