我经历了二十年的旅程,在德克萨斯州休斯顿,我只在紧急情况下进行透析
1Department of Internal Medicine, HCA Healthcare, Houston, TX, USA. rajeev.raghavan@hcahealthcare.com.
Journal of immigrant and minority health
|January 29, 2026
概括
无证,依赖透析的患者面临护理障碍. 宣传工作导致了政策变化,扩大了门诊透析的准入,并改善了这一弱势群体的健康结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生政策 公共卫生政策
- 健康 公平 卫生 公平
背景情况:
- 无证,依赖透析的患者在2005年缺乏保险和获得定期门诊透析,导致严重的并发症和住院治疗.
- 一位科医生长达二十年的宣传之旅始于其实住院期间,其动力来自对患者痛苦的第一手观察.
研究的目的:
- 记录为改善无证患者获得定期透析服务的多方面宣传工作.
- 突出临床医生,社会工作者和政策倡导者之间的协作工作的影响.
主要方法:
- 从2005年到2025年,倡导的纵向叙事描述.
- 关键策略包括发表研究,组建联盟,影响地方和州政策.
- 患者赋权和社区驱动的解决方案是核心的.
主要成果:
- 扩大了门诊透析能力,并制定了创新的保险入学策略.
- 取得了重要的地方和州级政策变化.
- 观察到改善了临床结果和提高了患者的尊严.
结论:
- 持续的宣传和社区合作可以克服医疗保健获取系统性障碍.
- 政策改革对于确保对弱势群体提供公平和富有同情心的护理至关重要.
- 赋予患者权力作为倡导者促进了弹性,并改善了健康结果.
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