与代表性不足的群体的人员合作,开发以人为中心的社会和医疗保健实践:来自CICADA研究的方法见解
Carol Rivas1, Amanda P Moore1, Kusha Anand1
1Social Research Institute, University College London, London, England.
Frontiers in health services
|October 23, 2025
概括
参与式研究方法改善了英国残疾人和少数群体的健康和社会护理. CICADA的研究强调了这些方法如何解决不平等问题,并加强对弱势群体的以人为中心的护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
背景情况:
- COVID-19大流行加剧了英国残疾人和少数民族的现有社会不平等现象,特别是那些移民状况不稳定的移民.
- 卫生和社会护理方面的不平等是显著的,并且对这些弱势群体的管理不充分.
研究的目的:
- 探索以个人为中心的残疾人和英国少数民族的健康和社会护理.
- 通过关注种族,残疾和公民身份的交叉点,提出改善护理的建议.
- 利用残疾体现模型和基于资产/优势的方法来开发以人为中心的解决方案.
主要方法:
- 一种混合方法方法,CICADA研究,结合了参与式研究方法.
- 定性部分包括来自少数群体的共同研究人员进行的半结构面试.
- 公共咨询小组为与患者和专业人员的知识交流研讨会和共同设计会议提供了便利.
主要成果:
- 参与的方法有效地包括无证移民和那些处于不稳定的地位的人.
- 确定了系统性的文化,官僚和社会经济障碍,阻碍了对最近和无证移民的以人为本的护理.
- 共同设计研讨会产生了协作解决方案,包括改进的沟通策略.
结论:
- 参与式方法对于解决研究和护理服务中的结构性不平等至关重要.
- 调整参与式方法以满足特定需求是很重要的,尽管存在实际挑战.
- 该研究倡导进行系统性变革,以加强包容性,文化协调性和以人为中心的护理系统.
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