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识别障碍和潜在的解决方案,以改善公平获得社区眼科服务的机会:一个探索性的连续混合方法研究协议
Luke Nelson Allen1,2, Sarah Karanja3, Michael Gichangi4
1Clinical Research, London School of Hygiene & Tropical Medicine, London, UK drlukeallen@gmail.com.
本研究确定了服务不足人群获得医疗保健的障碍,并提出了定制解决方案,以改善公平护理. 在四个国家进行混合方法研究的结果为改善服务提供和患者出勤提供了实际策略.
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
- 健康 公平 卫生 公平
背景情况:
- 获得医疗保健服务的机会在社会人口统计学群体中分布不公平.
- 某些人群在获得及时和适当的护理方面面临重大障碍.
- 了解这些障碍对于开发有效干预措施至关重要.
研究的目的:
- 从服务不足的人口的角度探索护理障碍,并确定潜在的解决方案.
- 开发和测试服务修改以改善公平获得护理.
- 快速生成可概括的发现和可操作的见解.
主要方法:
- 这是一项跨越四个查计划 (博茨瓦纳,印度,肯尼亚,尼泊尔) 进行的多阶段,探索性的顺序混合方法研究.
- 第一个阶段:深入采访来自"落后"社会人口统计学子组的个人,以确定障碍和感知到的解决方案.
- 第二阶段:根据影响对潜在的服务修改进行排名的调查;第三阶段:多利益相关方研讨会评估拟议修改的可行性,成本和风险.
主要成果:
- 定性数据分析确定了"落后"群体面临的具体障碍.
- 量化调查数据根据感知的有效性对拟议的修改进行了排名.
- 研讨会讨论优先考虑基于影响,可行性,成本和风险的修改.
结论:
- 量身定制,以社区为基础的服务修改可以显著改善公平获得护理的机会.
- 一种快速的混合方法方法可以为改善医疗服务提供可操作的见解.
- 解决服务不足人群所面临的障碍对于实现健康公平至关重要.
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