医疗保健中的耻辱和歧视:印度烧伤患者面临的挑战
Pratishtha Singh1, Jagnoor Jagnoor2, Mohammed Fahud Khurram3
1The George Institute for Global Health, India.
概括
由于系统性问题和缺乏指导方针,印度的烧伤患者在医疗机构中面临着严重的耻辱和歧视. 解决这些障碍需要政策改革和多方利益相关者对包容性护理的敏感化.
科学领域:
- 公共卫生 公共卫生
- 医学社会学 医学社会学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 烧伤是全球主要的健康问题,不成比例地影响印度等低收入和中等收入国家.
- 烧伤幸存者的现有社会经济挑战被变形,残疾和痕加剧,导致社会耻辱和心理健康问题.
- 有限的研究存在于医疗机构内烧伤患者所经历的耻辱和歧视.
研究的目的:
- 调查印度医疗机构中烧伤患者所经历的耻辱和歧视的存在和表现.
- 探索导致耻辱和患者经历歧视的卫生系统因素.
- 确定促进包容性和减少在烧伤护理中的耻辱的战略.
主要方法:
- 在印度的Uttar Pradesh进行了一项定性研究 (2023年6月至12月).
- 进行了18次深入采访,对烧伤患者,医疗保健提供者和法律专业人员进行了深入采访.
- 数据分析涉及使用NVivo进行主题分析,以健康耻辱和歧视框架为指导.
主要成果:
- 确定的主要主题包括卫生系统障碍 (超负担的系统,资源限制,缺乏指导方针) 导致耻辱.
- 患者的经验揭示了身体/精神虐待的实例,以及患者与医疗服务提供者的互动中耻辱的交叉性.
- 提出了多方利益相关者宣传和政策改革,以实现无歧视的护理.
结论:
- 烧伤患者在印度的医疗机构中面临着多方面的耻辱和歧视.
- 迫切需要改革卫生系统,包括无歧视护理政策,加强公共烧伤护理和改善康复.
- 加强社会融入和意识对于烧伤幸存者来说至关重要.
相关概念视频
01:22Burn Injuries
2.9K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.9K
01:27Ethical Issues
1.2K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.2K
01:26Traditional Level Of Health Care System
2.9K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.9K
01:29Issues And Trends In Healthcare Delivery System
5.9K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.9K
01:19Clinical Applications of Epidermal Stem Cells
2.8K
Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
2.8K
01:21Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K