探索残疾人获得医疗保健的障碍:乌干达卢卡农村地区的定性研究
Andrew Sentoogo Ssemata1,2,3, Tracey Smythe3,4, Slivesteri Sande5
1Disability Research Group, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Wakiso, Uganda andrewssemata@yahoo.co.uk.
BMJ open
|November 2, 2024
概括
乌干达农村的残疾人面临着严重的医疗保健接入障碍,包括财务限制,照顾者的依赖和医疗保健工作者的歧视. 系统性变化对于公平的卫生服务至关重要.
科学领域:
- 全球健康 全球健康
- 关于残疾人的研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在全球范围内,获得医疗保健仍然是残疾人面临的关键挑战.
- 由于资源和基础设施有限,农村环境存在独特的障碍.
- "失踪的十亿"是指缺乏基本医疗服务的残疾人.
研究的目的:
- 探索乌干达卢卡农村地区各种残疾人获得医疗保健的障碍.
- 为开发一种干预措施提供信息,以改善这一群体获得医疗保健的机会.
- 为了解残疾人在农村医疗保健机构所面临的挑战做出贡献.
主要方法:
- 进行了一项定性探索性研究,涉及27名不同残疾的参与者.
- 使用有目的和雪球采样技术进行了深入采访.
- 采用了主题数据分析,以包括残疾在内的健康"缺失的十亿"框架为指导.
主要成果:
- 需求方面的障碍包括有限的自主权,意识,财务能力和照顾者的依赖.
- 供应侧的障碍包括歧视,医疗保健工作人员的负面态度,人员短缺和服务延迟.
- 无法进入的医疗保健设施具有有限的可访问性特征进一步加剧了这些问题.
结论:
- 相互关联的障碍严重阻碍了乌干达农村地区残疾人获得公平医疗保健的机会.
- 应对这些复杂的挑战需要在医疗保健系统内进行系统性变革.
- 这些发现突显了迫切需要负担得起,及时和可接受的医疗保健干预措施.
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