医疗机构如何提供残疾人住宿以促进公平护理:一项定性研究
Cristina A Sarmiento1, Kori Eberle2, Jennifer Oshita3
1Department of Physical Medicine & Rehabilitation, University of Colorado Anschutz Medical Campus, 12631 East 17th Avenue, Mail Stop F493, Aurora, CO, 80045, USA; Department of Pediatrics, University of Colorado Anschutz Medical Campus, 13123 E. 16th Avenue, Box B065, Aurora, CO, 80045, USA.
Disability and health journal
|March 16, 2025
概括
医疗机构往往无法满足患者的残疾住宿需求. 标准化流程和教育工作人员对于公平的医疗保健准入和结果至关重要.
科学领域:
- 医疗保健管理的管理
- 健康 公平 卫生 公平
- 关于残疾人的研究.
背景情况:
- 联邦法律规定在医疗保健机构 (HCO) 提供残疾人住宿.
- 未满足的住宿需求有助于医疗保健的获取和结果不平等.
- 对于HCO在不同环境中的适应过程的了解有限.
研究的目的:
- 调查医疗保健组织为提供残疾人住宿所使用的系统和流程.
- 确定在HCO内提供残疾人住宿的挑战和最佳实践.
主要方法:
- 与15个负责残疾倡议的HCO的代表进行了定性采访.
- 采用主题分析来识别参与者对住宿流程的描述中反复出现的主题.
- 重点是了解当前的工作流程,并确定需要改进的领域.
主要成果:
- 出现了四个关键主题:主动识别需求 (通常是脱节的),多样化/重复性临床过程,不同类型的住宿的临时工作流程,以及对员工教育的关键需求.
- 参与者强调了与语言口译服务的相似之处,并强调了主动提供住宿的重要性.
- 在HCOs中发现了不一致和低效的过程.
结论:
- 医疗保健系统缺乏标准化流程,以有效和系统地提供残疾人适应性服务.
- 制定标准化指导方针,适应当地环境,可以提高住宿的一致性.
- 标准化住宿对于减轻健康差异和确保公平护理至关重要.
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