公平的步骤研究 - 框架解决不平等在pPrimary care使用Stakeholder视角S:综合证据审查和德尔菲共识共识
Public health
|November 5, 2024
概括
这项研究制定了一个框架,用于设计,实施和评估解决健康不平等问题的初级保健干预措施. 它结合了证据,从业人员的意见和公众对话,为服务发展提供了一个可信的工具.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 主要护理是指初级护理.
背景情况:
- 健康不平等是健康结果的可避免差异,医疗保健对此做出了重大贡献.
- 初级医疗保健在减少这些差异方面发挥着至关重要的作用.
- 当地环境对于有效的健康不平等干预至关重要.
研究的目的:
- 创建一个以证据为基础的框架,用于设计,实施和评估初级保健中的当地健康不平等干预措施.
- 确保框架是实用的,并对当地环境敏感.
主要方法:
- 一种混合方法的方法,整合了证据审查,德尔菲共识研究和患者/公众参与.
- 对初级保健健康不平等干预措施的已出版和灰色文献进行系统的搜索.
- 与初级保健专业人员的德尔菲调查以及与有健康不平等生活经验的个人进行持续对话.
主要成果:
- 包括69篇发表的和19篇灰色文学论文,详细介绍了各种干预措施.
- 确定了专注于定制提供和从业人员培训的干预类型.
- 医疗从业者和患者组为该框架优先考虑了28项干预措施.
结论:
- 通过综合证据,从业人员咨询和公众对话,开发了一个基于证据的框架.
- 该框架旨在设计,实施和评估当地的初级保健健康不平等干预措施.
- 纳入公众和从业人员的观点提高了框架的可信度和服务发展的实用性.
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