干扰和恢复:一项定性研究,针对大流行期间弱势群体的卫生服务
Harimadhav Viswanathan1, Pankaja Raghav1, Prem Prakash Sharma1
1Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences Jodhpur, Jodhpur, India.
Frontiers in public health
|March 11, 2026
概括
公共卫生紧急情况会破坏弱势群体获得医疗保健的机会. 针对性干预和适应性策略对于像COVID-19流行病这样的危机期间的公平护理至关重要.
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
- 社会学 社会学 社会学
背景情况:
- 流行病导致系统性干扰,其间接后果超出了直接死亡率.
- 在卫生危机期间,弱势群体经常经历不成比例的影响.
研究的目的:
- 在COVID-19大流行期间,识别弱势群体在获得常规卫生服务方面面临的挑战.
- 探索用于医疗保健服务恢复的战略.
主要方法:
- 在印度西部Jodhpur地区使用诱导性主题方法进行定性研究.
- 通过与医疗保健工作者 (n=8) 进行关键信息人采访和与弱势群体患者进行深入采访 (n=20) 收集的数据.
主要成果:
- 由于恐惧,交通障碍和人员短缺,弱势群体面临着减少访问,经常寻求私人护理.
- 卫生保健工作者通过恢复社区外展来适应;设施优先考虑基本服务,使用远程咨询和家庭药物递送.
- 接种疫苗面临数字接入,错误信息和犹的问题,受到社区参与的缓解;追赶计划解决了错过的免疫接种和结核病护理.
结论:
- 在危机期间,弱势群体有特殊的,加剧的需求,需要有针对性的干预.
- 适应性策略必须在准备计划中制度化,以确保弱势群体在未来的危机期间获得公平的医疗保健.
相关概念视频
Ecological Disturbance
16.1K
An ecological disturbance is a temporary disruption in the environment resulting from abiotic, biotic, or anthropogenic factors, causing a pronounced change in an ecosystem. The impact of an ecological disturbance, which can depend on its intensity, frequency, and spatial distribution, plays a significant role in shaping the species diversity within the ecosystem.
16.1K
Issues And Trends In Healthcare Delivery System
6.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.5K
Dimensions of Health and Illness
9.8K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
9.8K
Factors Affecting Illness
5.4K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
5.4K
Steps in Outbreak Investigation
779
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
779
Community Based Intervention
620
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...
620


