[巴西医疗保健服务中的自我歧视和护理评估]
Paulo Victor Cesar de Albuquerque1, María Del Pilar Flores-Quispe2, Elaine Tomasi1,3
1Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas. R. Marechal Deodoro 1160, 3° Piso, Centro. 96020-220 Pelotas RS Brasil. albuquerque.pvc@gmail.com.
Ciencia & saude coletiva
|March 4, 2026
概括
巴西卫生服务中的自我歧视影响了11.4%的成年人,特别是女性和较低社会经济群体. 这种歧视与人们认为护理质量和健康结果较差有关.
科学领域:
- 公共卫生 公共卫生
- 医疗服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 医疗保健机构内的歧视是公认的障碍,阻碍了公平获得和优质护理.
- 了解所感知的歧视的流行率和相关因素对于开发有针对性的干预措施至关重要.
研究的目的:
- 确定巴西卫生服务中自我认知的歧视的普遍性.
- 确定与这种歧视相关的社会人口统计因素.
- 检查所感知的歧视与评估医疗保健质量的关系.
主要方法:
- 对2013年国家健康调查数据的分析.
- 包括44,001名成年参与者.
- 统计分析以确定流行率和关联.
主要成果:
- 自我感知歧视的流行率为11.4%.
- 在妇女中观察到更高的患病率,黄色或土著肤色的个体,有伴侣的人,经济地位较低,自我评价的健康状况较差,以及最近的咨询间隔.
- 歧视与医疗护理,接待和等待时间的负面评估有关.
结论:
- 自我感知的歧视是巴西卫生服务中的一个重要问题.
- 歧视与更糟糕的健康结果和更低的护理质量有关.
- 解决歧视问题对于公共卫生和为弱势群体实现公平的医疗保健至关重要.
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