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约旦家庭中医疗保健利用的感知障碍:以家庭为中心的方法。

Perceived barriers to healthcare utilization among Jordanian families: A family centered approach.

作者信息

Shaheen Abeer M, Hamdan Khaldoun M, Alkaid Albqoor Maha, Arabiat Diana H

机构信息

The University of Jordan, Jordan.

Al-Ahliyya Amman University, Jordan.

出版信息

Appl Nurs Res. 2020 Aug;54:151313. doi: 10.1016/j.apnr.2020.151313. Epub 2020 May 19.

DOI:10.1016/j.apnr.2020.151313
PMID:32650894
Abstract

AIM

This study aimed to understand the barriers to health services utilization by Jordanian families.

BACKGROUND

Access to quality healthcare services is a significant issue facing healthcare systems. Healthcare systems must identify and apply measures to overcome barriers that face utilizing health services and thus increase clients' satisfaction.

METHODS

A cross-sectional qualitative research design was used in this study. Semi-structured interviews were conducted with twenty-five families to elicit the model of health services barriers.

RESULTS

The analysis of the family interviews led to four main themes related to health services barriers: service system, structural/physical barriers, equipment and medication, and staff competency. This study would increase awareness about underserved populations that avoid seeking medical care.

CONCLUSION

Public health efforts are required to increase awareness about the importance of contacting the healthcare system as early as possible. However, public health policy may require developing new initiatives that reduce these perceived barriers, such as enhancing communication skills among healthcare workers, increasing supervision and inspection of healthcare quality, and enhancing patient engagement by using phone calls and messages as appointment reminders and careful follow-up.

摘要

目的

本研究旨在了解约旦家庭利用卫生服务的障碍。

背景

获得高质量的医疗服务是医疗系统面临的一个重大问题。医疗系统必须识别并采取措施克服利用卫生服务所面临的障碍,从而提高客户满意度。

方法

本研究采用横断面定性研究设计。对25个家庭进行了半结构化访谈,以得出卫生服务障碍模型。

结果

对家庭访谈的分析得出了与卫生服务障碍相关的四个主要主题:服务系统、结构/物理障碍、设备和药物以及工作人员能力。本研究将提高对避免寻求医疗护理的服务不足人群的认识。

结论

需要开展公共卫生工作,以提高对尽早联系医疗系统重要性的认识。然而,公共卫生政策可能需要制定新的举措来减少这些感知到的障碍,例如提高医护人员的沟通技巧、加强对医疗质量的监督和检查,以及通过使用电话和信息作为预约提醒并进行仔细随访来提高患者参与度。

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