少数民族社区获得卫生服务:对复杂干预措施的范围审查
Jessica Rose Pawson1, Simon Cannon2, Saira Nazeer2
1Bone & Joint Health, Blizard Institute, Queen Mary University of London.
PloS one
|January 6, 2026
概括
复杂的干预措施有望改善英国少数民族获得医疗保健的机会. 需要进一步的研究来评估干预的有效性,并促进公平的医疗保健服务.
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:
- 医疗保健的获取和参与仍然是英国少数族裔社区面临的重大挑战.
- 复杂的干预越来越多地用于解决这些差异.
- 了解这些干预措施中的公平因素对于有效实施至关重要.
研究的目的:
- 系统地绘制复杂干预措施的证据,旨在改善英国少数族裔群体获得医疗保健的机会和参与.
- 通过使用既定的框架,探索这些干预措施的公平维度.
主要方法:
- 以系统审查和元分析扩展范围审查 (PRISMA-ScR) 检查清单为指导的范围审查.
- 在六个数据库中进行了搜索,使用反射和主题内容分析进行了分析.
- 干预措施与以患者为中心的访问框架和PROGRESS-Plus公平框架进行了映射.
主要成果:
- 35项研究符合纳入标准,主要是初级保健 (63%) 和心理健康 (31%).
- 干预措施包括外展工作者,社区环境,文化适应和员工培训,针对南亚人,非洲加勒比人,吉普赛人,罗姆人和旅行者等不同群体.
- 只有三分之一的研究评估了有效性,PROGRESS-Plus确定了基于年龄,种族,残疾和语言能力的排斥.
结论:
- 所有以患者为中心的访问框架领域都有代表性,可接近性和可接受性是最常见的.
- 尽管有效性评估有限,但复杂的干预措施显示出改善代表性不足的社区健康平等的潜力.
- 未来的研究应侧重于有效性,超越初级/精神健康的转化,以及加强与社区的合作.
更多相关视频
06:16Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
4.2K
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.5K
相关概念视频
Community Based Intervention
269
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...
269
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.0K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.0K
Surveys
16.6K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
16.6K
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
