超出覆盖范围的需求:残疾父母残疾儿童的医疗保健不平等
Christy Pu1, Shu-Fang Shih2, Yiing-Jenq Chou3
1Institute of Public Health, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Disability and health journal
|December 18, 2024
概括
父母也患有残疾的残疾儿童的医疗保健访问次数较少. 即使在获得全民医疗保健的情况下,这种健康获取差异仍然存在,这表明需要有针对性的支持.
科学领域:
- 公共卫生 公共卫生
- 关于残疾人的研究.
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 家庭聚合残疾是一个公认的现象.
- 患有残疾的儿童和患有残疾的父母代表了一个弱势群体,在研究中经常被忽视.
- 现有的研究还没有充分解决残疾儿童的医疗保健准入问题,其父母也患有残疾.
研究的目的:
- 调查父母也患有残疾的残疾儿童获得医疗保健的差异.
- 确定父母残疾状况是否会影响残疾儿童使用医疗保健.
- 为了确定这个特定的人口群体的医疗保健服务的潜在缺口.
主要方法:
- 采用了一个动态队列研究设计.
- 数据来源于台湾国家残疾登记处和国家医疗保险索赔 (2017-2021年).
- 儿童使用独特标识符与父母联系在一起,以确定残疾状况和医疗保健服务收件.
主要成果:
- 在2021年,有5188名残疾儿童至少有一个父母是残疾人.
- 与没有父母残疾的儿童相比,两个父母残疾的儿童每年门诊次数减少1.71.
- 对于至少有一位残疾父母的儿童,在出生时 (减少5.0次) 和2岁时 (减少4.2次) 观察到一般门诊访问的显著减少.
结论:
- 残疾儿童和残疾父母未充分利用医疗保健服务,即使在像台湾这样的全民医疗保健系统内也是如此.
- 单靠全民医疗覆盖就无法消除这一群体在医疗保健利用方面的差异.
- 有针对性的干预和支持计划是必要的,以解决残疾儿童的独特医疗保健需求,其父母也患有残疾.
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