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Updated: May 12, 2025

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对残疾人适应措施的证据进行全面审查,以针对医疗保健中的公平沟通获取
Jennifer Y Oshita1,2,3, Megan E Schliep4, Natalie F Douglas5
1NYU Langone, New York, NY.
American journal of speech-language pathology
|April 29, 2025
概括
关于在医疗保健中为有沟通障碍的成年人提供沟通便利的科学证据有限. 研究显示了积极的结果,但需要更大的研究来告知政策和实践.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
- 通信科学 通信科学
背景情况:
- 美国残疾人法案 (ADA) 要求残疾人进行有效的沟通和获得医疗保健.
- 现有的ADA适应清单缺乏科学文献的支持,阻碍了基于证据的实施.
- 提升适应措施的有效性需要严格的科学证据.
研究的目的:
- 在医疗保健环境中对有沟通障碍的成年人进行沟通适应 (CD) 的文献进行覆盖.
- 为了确定研究的住宿,目标CD群体和研究方法.
- 评估医疗保健中通信访问干预措施的证据基础.
主要方法:
- 使用MEDLINE,CINAHL和Embase数据库进行了范围审查.
- 在2003年1月1日至2024年8月1日期间发表的文章被选.
- 数据提取的重点是住宿类型,CD人口,环境,医疗保健工作者,证据类型,研究设计和结果.
主要成果:
- 确定了10个通信设施的58项调查.
- 定制计划,沟通策略以及增强型和替代型沟通辅助工具是最受研究的.
- 大多数研究都是描述性的,样本大小小小 (≤50) 和异质结果措施.
结论:
- 研究的适应措施涵盖了比政策文件更广泛的CD群体,表明需要与政策和证据保持一致.
- 尽管有积极的发现,但研究数量有限和早期阶段需要进一步调查.
- 建议制定战略,以提高医疗保健中沟通适应措施的实施和有效性.
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