School of Rehabilitation Science, McMaster University,Hamilton, Ontario,Canada.
School of Social Work, McMaster University, Hamilton,Ontario,Canada.
Palliat Support Care. 2014 Jun;12(3):175-81. doi: 10.1017/S147895151200106X. Epub 2013 May 10.
The purpose of this qualitative study was to investigate how frontline healthcare professionals witness and understand disparity in cancer care.
Six healthcare providers from a range of care settings, none with < 15 years of frontline experience, engaged with researchers in an iterative process of identifying and reflecting on equity and disparity in cancer care. This knowledge exchange began with formal interviews. Thematic analysis of the interviews form the basis of this article.
Participants drew attention to health systems issues, the meaning and experience of discontinuities in care for patients at personal and community levels, and the significance of social supports. Other concerns raised by participants were typical of the literature on healthcare disparities.
Providers at the front lines of care offer a rich source of insight into the operation of disparities, pointing to mechanisms rarely identified in traditional quantitative studies. They are also well positioned to advocate for more equitable care at the local level.
本定性研究旨在探讨一线医护人员如何观察和理解癌症护理中的差异。
来自不同护理环境的 6 名医护人员，均具有不少于 15 年的一线经验，与研究人员一起参与了一个识别和反思癌症护理中的公平性和差异的迭代过程。这一知识交流始于正式访谈。本文的基础是对这些访谈的主题分析。
参与者提请注意卫生系统问题、患者在个人和社区层面上护理中断的意义和体验，以及社会支持的重要性。参与者提出的其他关切与关于医疗保健差异的文献中的问题相似。
护理一线的医护人员为理解差异的运作提供了丰富的见解，指出了传统定量研究中很少识别的机制。他们也非常适合在地方一级倡导更公平的护理。
