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个人获得医疗保健服务:一项概念分析。

Personal access to health care: a concept analysis.

作者信息

Norris Tommie L, Aiken Margaret

机构信息

Acute and Chronic Care Department, College of Nursing, University of TN 38163, USA.

出版信息

Public Health Nurs. 2006 Jan-Feb;23(1):59-66. doi: 10.1111/j.0737-1209.2006.230109.x.

Abstract

The objective of this concept analysis was to formulate an operational definition, so that those seeking, providing, and legislating health care policy would share a common interpretation of the concept. A concept analysis following the strategy suggested by Walker and Avant was used to identify antecedents, attributes, and empirical referents of access to health care. Furthermore, model, borderline, contrary, and invented cases were described. A theoretical definition was derived, which will lead to a better understanding of the concept and bring the concept closer to measurability and readiness for an operational definition. Access to health care has been addressed in political campaigns, studied by numerous legislative committees, and purported to be in an emergency state of despair. However, a measurable definition of access to health care continues to elude providers and legislators of health care; in as much, the meaning of the concept varies with the user.

摘要

本概念分析的目的是制定一个操作性定义,以便寻求、提供和制定医疗保健政策的各方能够对该概念有共同的理解。采用遵循沃克和阿万特所建议策略的概念分析方法,来确定医疗保健可及性的前因、属性和实证指标。此外,还描述了典范、临界、相反和虚构案例。得出了一个理论定义,这将有助于更好地理解该概念,并使该概念更接近可测量性以及为操作性定义做好准备。医疗保健可及性在政治竞选活动中得到讨论,受到众多立法委员会的研究,据称处于紧急绝望状态。然而,医疗保健可及性的可测量定义仍然让医疗服务提供者和立法者捉摸不透;同样,该概念的含义因使用者而异。

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