了解患者获取社区资源的障碍和推动因素:一项定性研究,为导航服务提供提供信息
Kiran Saluja1, Adiba Mahbub2, Alain P Gauthier3
1Bruyère Health Research Institute, Ottawa, ON, Canada.
BMC primary care
|October 24, 2025
概括
对初级保健患者来说,系统和个人障碍都阻碍了社区资源的获取. 解决这些多方面的挑战对于改善健康结果和健康的社会决定因素至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
- 质量健康研究 质量健康研究
背景情况:
- 社区资源的获取对于患者的支持至关重要,但面临着多方面的障碍.
- 初级保健患者在获得必要服务方面遇到重大障碍.
- 了解影响资源获取的个人和系统级因素至关重要.
研究的目的:
- 检查初级保健患者在社区资源获取方面的障碍和促进因素.
- 探索影响资源获取的个人和系统层面因素之间的相互作用.
- 为改善获得社区服务的战略提供信息.
主要方法:
- 定性研究涉及32个半结构面试与初级保健患者.
- 两个导航服务的比较 (ARC与安大略211) 在一个社会处方试验.
- 专题数据分析使用混合演/归纳方法和莱维斯克的框架.
主要成果:
- 系统层面的障碍包括影响外展,可用性,成本和适应性的组织,结构和政策问题.
- 患者层面的因素,如意识,动机,健康状况和信心,与系统性障碍相互作用.
- 访问是由系统限制和个体患者特征之间的复杂相互作用决定的.
结论:
- 社会复杂的初级保健患者面临着严重的个人和系统障碍,无法获得社区资源.
- 对社区服务的投资需要上游方法来降低接入障碍.
- 解决健康的社会决定因素需要减少系统和个人层面的护理获取障碍.
相关概念视频
Barriers to Effective Communication II
4.5K
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...
4.5K
Barriers to Effective Communication I
10.9K
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
10.9K
Methods of Documentation VI: Case Management Model
854
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
854
Community Based Intervention
270
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
270
Nursing Ethical Principles II
2.1K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.1K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K


