Department of Psychology, James Madison University, Harrisonburg, VA, USA.
J Multidiscip Healthc. 2015 Jan 23;8:59-66. doi: 10.2147/JMDH.S61723. eCollection 2015.
Studies of unmet health care needs have shown that women, people with poor health, and people with lower socioeconomic status are more likely to report having unmet health care needs. In this study, we examined the types of and reasons for unmet health care needs in 465 people with environmental sensitivities. A second area of inquiry involved negative reactions to general anesthesia. Results showed that the most common barriers to receiving care were the inability to find a provider who understands environmental sensitivities and a lack of accessibility due to chemical and electromagnetic exposures in health care environments. Lower income and poorer health (longer illness, a worsening or fluctuating course of illness, and a higher level of disability) were significantly correlated with the total number of reported unmet health care needs. Some people with environmental sensitivities reported having negative reactions to anesthesia of long duration; most common were nausea and vomiting, fatigue, and reduced cognitive ability.
未满足的医疗需求研究表明，女性、健康状况较差的人群和社会经济地位较低的人群更有可能报告存在未满足的医疗需求。在这项研究中，我们调查了 465 名环境敏感人群未满足医疗需求的类型和原因。另一个研究领域涉及对全身麻醉的不良反应。结果表明，接受治疗的最常见障碍是找不到理解环境敏感性的提供者，以及由于医疗环境中的化学和电磁暴露导致的可及性不足。较低的收入和较差的健康状况（更长的疾病、病情恶化或波动以及更高的残疾程度）与报告的未满足医疗需求总数显著相关。一些环境敏感人群报告对长时间的麻醉有不良反应；最常见的是恶心和呕吐、疲劳和认知能力下降。
