从农村的角度看医疗保健的准入:一个叙事审查
Peter Kaboli1,2,3, Adam Blaine3, Jasmine Mares2
1VA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City Veterans Affairs Health Care System, Iowa City, Iowa, USA.
概括
农村人口面临着严重的医疗保健接入障碍,包括地理,虚拟和劳动力挑战. 解决这些问题需要定制战略,重点关注交通,宽带和农村劳动力支持公平的护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 现有的医疗保健准入框架缺乏针对农村人口的具体性.
- 了解农村健康差异对于公平的护理提供至关重要.
研究的目的:
- 用Fortney模型描述医疗保健准入测量,重点关注农村人口.
- 识别进入障碍对农村社区的影响差异.
主要方法:
- 利用福特尼模型的五个维度访问:地理,时间,金融,文化和虚拟.
- 在社区,提供者和卫生系统环境的背景下,分析了患者层面的访问.
- 农村和城市人口之间的比较访问指标.
主要成果:
- 农村人口面临不成比例的地理障碍 (距离,交通) 和虚拟访问挑战 (宽带,数字素养).
- 医疗保健劳动力短缺和健康的社会决定因素显著影响农村的获取.
- 促进者包括综合公共交通,扩展宽带和农村劳动力支持.
结论:
- 医疗保健系统必须整合准入指标,以实现持续改进和公平.
- 需要独特的方法来应对不成比例的农村接入挑战.
- 确保农村人口获得公平的医疗保健需要有针对性的干预措施.
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