加纳农村地区医疗服务提供者对为身体残疾者提供初级医疗服务的看法。
Healthcare providers' perspectives of providing primary healthcare services to persons with physical disabilities in rural Ghana.
作者信息
Dassah Ebenezer, Aldersey Heather M, McColl Mary Ann, Davison Colleen
机构信息
School of Rehabilitation Therapy, Queen's University, Kingston, ON K7L 3N6, Canada.
Department of Public Health Sciences, Queen's University, Kingston, ON K7L 3N6, Canada.
出版信息
Prim Health Care Res Dev. 2019 Jul 1;20:e108. doi: 10.1017/S1463423619000495.
BACKGROUND
A growing body of evidence has shown that persons with physical disabilities experience substantial barriers in accessing primary healthcare (PHC) services in rural areas. Negative attitudes from healthcare providers and inaccessible healthcare facilities and equipment are common experiences that negatively affect access to quality healthcare for persons with physical disabilities. However, there is limited research that explores this issue from the perspectives of healthcare providers. This qualitative study explores the perspectives of healthcare providers in delivering PHC services to persons with physical disabilities in rural Ghana. Understanding healthcare providers' perspectives could help leverage previous findings from clients' experiences to more fully inform the development of specific and actionable research and interventions to improve healthcare delivery for disabled people.
METHODS
We conducted in-depth interviews with 15 healthcare providers and used thematic analysis to analyze the data.
RESULTS
Participants reported their perspectives in three major themes: challenges in providing healthcare (eg, limited availability of drugs and medical equipment, limited healthcare providers, financial constraints, and inaccessible facilities and equipment); strategies in navigating the challenges (eg, improvising techniques and employing professional values, referring clients, and providing financial assistance to clients); and positive experience in providing healthcare (eg, feeling rewarded and appreciated).
CONCLUSION
The findings reinforce the need to consider the availability of rehabilitation professionals and services to address the specific healthcare needs of disabled people at the PHC level in Ghana. The findings also point to a need for further research on the perspectives of healthcare policymakers about how to navigate the systemic barriers encountered by providers in providing care to persons with physical disabilities in rural Ghana in particular, and other similar rural areas.
背景
越来越多的证据表明，身体残疾者在获取农村地区的初级医疗保健（PHC）服务时面临重大障碍。医疗服务提供者的消极态度以及难以到达的医疗设施和设备是常见的情况，它们对身体残疾者获得优质医疗保健产生了负面影响。然而，从医疗服务提供者的角度探讨这一问题的研究有限。这项定性研究探讨了加纳农村地区医疗服务提供者在为身体残疾者提供初级医疗保健服务方面的观点。了解医疗服务提供者的观点有助于利用先前从患者经历中获得的发现，从而更全面地为制定具体且可操作的研究及干预措施提供信息，以改善为残疾人提供的医疗服务。
方法
我们对15名医疗服务提供者进行了深入访谈，并使用主题分析法对数据进行分析。
结果
参与者在三个主要主题中阐述了他们的观点：提供医疗保健方面的挑战（例如，药品和医疗设备供应有限、医疗服务提供者数量有限、资金限制以及设施和设备难以到达）；应对挑战的策略（例如，即兴发挥技术并运用专业价值观、转诊患者以及为患者提供经济援助）；以及提供医疗保健方面的积极体验（例如，感到有成就感和被感激）。
结论
研究结果强化了在加纳初级医疗保健层面考虑康复专业人员和服务的可获得性以满足残疾人特定医疗需求的必要性。研究结果还表明，需要进一步研究医疗保健政策制定者对于如何应对特别是加纳农村地区以及其他类似农村地区的医疗服务提供者在为身体残疾者提供护理时遇到的系统性障碍的观点。
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