对智力残疾人进行预防性健康评估的准入:由Levesque Access Framework提供信息的系统性范围审查
Maddison Eveleigh1,2, Jodie Bailie3,4, Alison Laycock2
1Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia.
BMC health services research
|July 2, 2025
概括
对于智力障碍 (ID) 的人来说,获得年度健康评估是有限的. 本次审查强调,虽然系统层面 (供给侧) 的因素已被记录,但患者层面 (需求侧) 的因素需要更多的研究来改善护理.
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.
- 公共卫生 公共卫生
背景情况:
- 预防性护理的获取对于减少智力残疾人 (ID) 面临的健康不平等至关重要.
- 初级保健中结构化的年度预防性健康评估是基于证据的,但ID患者未充分利用.
- 了解进入障碍是改善这一群体健康状况的关键.
研究的目的:
- 综合有关影响ID患者获得健康评估的供需侧因素的文献.
- 识别有关这些访问维度的研究缺口.
主要方法:
- 按照JBI的方法进行了系统的范围审查.
- 搜索了六个数据库,查找到2024年2月之前发表的经验研究.
- 通过使用Levesque的理论访问框架提取和映射数据.
主要成果:
- 在1639个出版物中,来自高收入国家的40个出版物符合纳入标准.
- 研究主要集中在供给侧因素 (例如,服务可用性,从业者的观点,合理的调整).
- 需求侧因素 (例如,沟通,健康素养,护理人员参与) 的探索较少.
结论:
- 影响ID患者获得健康评估的供应侧因素已得到充分证实.
- 需要对不提供评估的从业人员进行进一步的研究,以及那些无法获得这些服务的ID患者的观点.
- 需求侧因素需要进行更深入的调查,以加强公平获得预防性护理的机会.
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