残疾人正义和集体获得劳动和分娩护理:一个定性研究
Meredith Evans1, Lesley A Tarasoff1,2, Yona Lunsky2
1Department of Health and Society, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON, M1C 1A4, Canada.
BMC pregnancy and childbirth
|December 20, 2024
概括
残疾人在围产期护理方面面临着差异. 这项研究强调了通过尊重和协作护理,残疾人正义和集体获取如何改善劳动和分娩期间的经验和结果.
科学领域:
- 围产期健康 围产期健康
- 关于残疾人的研究.
- 健康 公平 卫生 公平
背景情况:
- 患有残疾的人在围产期健康结果中遇到显著的差异.
- 现有的医疗保健系统往往无法满足残疾人在分娩期间的独特需求.
- 一个残疾人正义框架对于理解和改善对这一群体的孕产妇护理至关重要.
研究的目的:
- 检查残疾人的劳动和分娩护理经验.
- 通过残疾人正义和集体获取的透视来分析这些经验.
- 确定导致负面和正面围产期护理体验的因素.
主要方法:
- 使用半结构面试进行的定性研究.
- 31名参与者 (女性和跨性别18-45岁) 在加拿大安大略省有多种残疾.
- 2019年7月至2020年2月期间进行的采访,重点关注前五年内出生.
主要成果:
- 参与者报告了负面经历,其特点是提供者驱动的,不尊重的和歧视性的护理,这表明了产科能力.
- 积极的经验包括协作,尊重和 Disability-affirming 护理,由集体访问提供便利.
- 这些发现说明了劳动和分娩中残疾人不公正和残疾人正义的情况.
结论:
- 集体获得劳动和分娩护理对于改善残疾人的产周健康和推进残疾人正义至关重要.
- 将决策转变为患者和提供者之间的协作,尊重的过程,可以促进集体获取.
- 实施 Disability Affirming 实践可以拆除产科能力主义,并促进公平的孕产妇护理.
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