社会经济地位对治疗的影响:一种定性研究
Jessica Spooner1, Soham Bandyopadhyay1, Mohammad Baraka2
1Clinical Neurosciences, Clinical & Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, Hampshire, UK; Wessex Neurological Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
社会经济地位对治疗有很大影响,对低SES患者造成更多障碍. 通过例行评估和支持解决这些差异对于公平的治疗至关重要.
科学领域:
- 神经学
- 公共卫生
- 社会学
背景情况:
- 社会经济地位 (SES) 是影响的已知因素.
- 目前的治疗可能无法充分解决各种SES需求.
- 了解患者对SES和护理的看法至关重要.
研究的目的:
- 探索成年患者如何看待社会经济地位对治疗的影响.
- 在管理中确定与SES相关的具体障碍和促进因素.
- 为了制定更公平的治疗策略.
主要方法:
- 对15名患有的成年人进行了深入的半结构面试.
- 参与者被分为低SES和高SES组,使用已确定的措施.
- 采访成绩单的诱导性主题分析,成员检查可信度.
主要成果:
- 与SES水平较高的参与者相比,在所有主题中,SES水平较低的参与者报告了更多的破坏性障碍.
- 低SES个人的关键障碍包括财务限制,获得交通和药物,导航社会支持系统和医疗保健互动.
- 在面临挑战的同时,更高水平的SES参与者更能利用资源减轻负面影响.
结论:
- 较低的社会经济地位加剧了管理中的财务,信息和关系障碍,影响了患者的坚持和护理的一致性.
- 常规社会经济地位评估,定制教育和综合社会支持干预措施至关重要.
- 这些干预措施有助于减少健康不平等,改善患者在社会经济上处于不利地位的结果.
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