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未满足的医疗保健需求和人权 - 从健康权和医疗保健的角度对患者投诉进行的定性分析。

Unmet health-care needs and human rights-A qualitative analysis of patients' complaints in light of the right to health and health care.

机构信息

Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.

School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.

出版信息

Health Expect. 2020 Jun;23(3):614-621. doi: 10.1111/hex.13038. Epub 2020 Feb 18.

DOI:10.1111/hex.13038
PMID:32069375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7321718/
Abstract

BACKGROUND

This study focuses on patient complaints from a human rights perspective. Despite the UN Convention on Human Rights being widely recognized, it has not previously been examined in relation to patients' complaints on health care. A human rights perspective and the right to the highest attainable standard of health are a major sustainability challenge in health care today. Previous research points to patients' complaints as a growing concern for health-care organizations, and the handling of this concern can lead to improvement in health-care services.

OBJECTIVE

The aim was to analyse patients' complaints on health-care services and to examine expressed needs for health care from a human rights perspective.

METHODS

In this descriptive study, a random sample of 170 patient complaints about Swedish health-care services were qualitatively analysed from a human rights perspective.

RESULTS

The complaints are described in three themes: the right to available and accessible health-care services, the right to good quality health-care services and the right to dignity and equality in health care. Questions of availability, accessibility, acceptability and quality are highlighted by patients and/or relatives making complaints on health-care services.

DISCUSSION AND CONCLUSION

This study emphasizes the human right to health in relation to patient complaints. Findings indicate that this right has been breached in relation to availability, accessibility, acceptability and quality in health-care services. Further debate, education and investigations are necessary to ensure that patients' rights to health and health care not be taken for granted.

摘要

背景

本研究从人权的角度关注患者的投诉。尽管《联合国人权公约》得到广泛认可,但之前从未将其与患者对医疗保健的投诉联系起来进行研究。从人权的角度和享有能达到的最高标准健康的权利是当今医疗保健的一个主要可持续性挑战。之前的研究表明,患者的投诉是医疗保健组织日益关注的问题,而处理这一问题可以改善医疗保健服务。

目的

旨在分析患者对医疗保健服务的投诉,并从人权的角度审视对医疗保健的表达需求。

方法

在这项描述性研究中,从人权的角度对 170 例瑞典医疗保健服务投诉的随机样本进行了定性分析。

结果

这些投诉被描述为三个主题:获得和可及的医疗保健服务的权利、良好医疗保健服务的质量的权利以及在医疗保健中享有尊严和平等的权利。可用性、可及性、可接受性和质量问题是由提出医疗保健服务投诉的患者和/或家属提出的。

讨论与结论

本研究强调了与患者投诉相关的健康权。研究结果表明,在医疗保健服务的可用性、可及性、可接受性和质量方面,这一权利已经受到侵犯。需要进一步进行辩论、教育和调查,以确保不将患者的健康权和医疗保健权视为理所当然。

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The nature of patient complaints: a resource for healthcare improvements.患者投诉的本质:医疗保健改进的资源。
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