"不应该这么难":妇女在低收入生活中获得医疗保健的经验
Michaela Ann Sparringa1, Lenora Duhn1, Pilar Camargo-Plazas1
1School of Nursing, Queen's University, Kingston, ON, Canada.
Qualitative health research
|February 28, 2026
概括
在加拿大,低收入妇女在获得医疗保健方面面临重大障碍,遇到拒绝和不良沟通. 他们的故事凸显了迫切需要公平,富有同情心的医疗保健系统,以解决健康的社会决定因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 质量健康研究 质量健康研究
- 卫生社会学 卫生社会学
背景情况:
- 公平获得医疗保健是加拿大标准,但低收入的妇女面临重大障碍.
- 低收入妇女的精神健康问题和不良健康行为率更高.
- 现有的关于公平待遇的妇女获得医疗保健的研究往往缺乏叙事和表演分析.
研究的目的:
- 探索低收入妇女在加拿大金斯顿获得医疗保健服务的经历和叙述.
- 将对话和表演分析应用于二次定性数据.
- 了解讲故事如何塑造身份和社会现实在医疗保健获取的背景下.
主要方法:
- 从初级研究中采访/焦点小组成绩单的定性二次数据分析.
- 将参与者的账户作为戏剧场景来分析结构和情感动态.
- 使用对话和表演分析来检查叙事互动.
主要成果:
- 出现的关键主题是:"拒绝和排斥"",医疗保健信息"",需要放心和信任".
- 住房,食物和交通等社会决定因素对医疗保健的获得产生了重大影响.
- 尽管存在系统性障碍,但参与者表现出了性和适应能力.
结论:
- 妇女获得医疗保健的故事揭示了关键的系统失败和社会决定因素的深刻影响.
- 迫切需要重新设计医疗保健系统,优先考虑公平,同情和清晰的沟通.
- 叙事方法有效地阐明了医疗保健机构中边缘化人口生活的现实.
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