解决长期Covid医疗保健中的不平等问题:关于构建包容性服务的混合方法研究
Ghazala Mir1, Jordan Mullard2, Amy Parkin3,4
1Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
概括
弱势群体在长期Covid (LC) 护理中面临严重的健康不平等,经历诊断延迟和低信任. 需要有针对性的包容性战略,以改善LC服务的获取和公平.
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:
- 长期Covid (LC) 不成比例地影响女性,贫困人口和少数民族,他们经历了重大的健康不平等.
- 这些群体往往无法获得支持服务,这凸显了长期COVID护理的差异.
研究的目的:
- 在长期Covid (LC) 护理途径中识别健康不平等.
- 探索包容性战略,以解决长期COVID患者的优先事项.
主要方法:
- 一项混合方法研究,结合了与患者和专家的定性访谈.
- 分析了伦敦西北部的初级保健记录和来自英格兰10家长期COVID诊所的数据.
- 定性数据的框架分析为患者记录的定量分析提供了信息.
主要成果:
- 弱势群体报告诊断延迟,转诊专家,对医疗保健的信任低.
- 长期Covid诊所证实弱势群体的转诊不足.
- 诊所实施了各种策略来改善接入,但这些策略并不普遍.
结论:
- 目前的战略为开发包容性长期COVID护理途径提供了一个起点.
- 未来的研究应该评估旨在改善弱势群体获得专家准入和信任的倡议.
- 卫生系统必须通过敏感的包容性倡议来识别和准代表性不足的人群.
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