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定性焦点小组研究:调查卡塔尔国讲阿拉伯语的初级保健客户对社区重要健康问题、医疗保健需求以及获取医疗服务的感知障碍的看法。

Qualitative Focus Group Study Examining Perceptions of the Community's Important Health Issues, Health Care Needs and Perceived Barriers to Access Among Arabic Speaking Primary Care Clients in the State of Qatar.

作者信息

Al-Kuwari Mohamed Ghaith, Al Abdulla Samya, Abdulla Maha, Mohammed Azza Mustafa, Haj Bakri Ahmad, Shaikhan Fahad, Buhaddoud Hanan

机构信息

Strategy Planning and Health Intelligence, Primary Health Care Corporation, Doha, Qatar.

Operations, Primary Health Care Corporation, Doha, Qatar.

出版信息

J Multidiscip Healthc. 2021 Apr 28;14:961-971. doi: 10.2147/JMDH.S288194. eCollection 2021.

Abstract

OBJECTIVE

This study is a part of the Primary Health Care Corporation's (PHCC) Health Needs Assessment (HNA) Initiative. It focuses on identifying perceptions of Arabic speaking primary care clients regarding community's major health issues, their experiences in utilizing health services, and the barriers that limit their access to health care in the State of Qatar.

STUDY SETTING AND DESIGN

A total of 10 focus groups sessions were conducted at different PHCC's health centers between October of 2019 and March of 2020. Sessions were distributed to cover all PHCC's three geographical regions. Data were analyzed using thematic analysis.

PARTICIPANTS

A total of 89 adult Arabic speaking individuals were recruited. Participants included were in the age groups (18-69), native Arabic speaker, and registered at one of the PHCC's health centers with a valid health card at time of recruitment.

RESULTS

Areas investigated included perceptions of the community's health issues, needed health services, and perceived barriers to health care. Priority health issues identified were chronic non-communicable diseases, mental health, timely access to care, cultural competency of delivered services, and integration and coordination across health care settings and sectors. Participants were able to identify socioeconomic and environmental factors such as the need for health and wellness interventions at schools that affects the health of the individual and the community. The importance of raising the community's awareness about health-related issues and availability of health services was highlighted by study participants.

CONCLUSION

Collecting qualitative data provides an opportunity to examine people's perceptions, and motivations and engage the whole community. This process is very important for strategic planning of health services. The study attempts to fill the knowledge gap and should be linked to health policy and the development of socially and culturally appropriate health programs.

摘要

目的

本研究是初级卫生保健公司(PHCC)健康需求评估(HNA)倡议的一部分。它侧重于确定讲阿拉伯语的初级保健客户对社区主要健康问题的看法、他们使用卫生服务的经历以及限制他们在卡塔尔国获得医疗保健的障碍。

研究背景与设计

2019年10月至2020年3月期间,在不同的PHCC健康中心共进行了10次焦点小组会议。会议分布在PHCC的所有三个地理区域。使用主题分析法对数据进行了分析。

参与者

共招募了89名讲阿拉伯语的成年个体。纳入的参与者年龄在(18 - 69)岁之间,以阿拉伯语为母语,并在招募时在PHCC的一个健康中心注册且持有有效健康卡。

结果

调查的领域包括对社区健康问题的看法、所需的卫生服务以及感知到的医疗保健障碍。确定的优先健康问题是慢性非传染性疾病、心理健康、及时获得护理、所提供服务的文化能力以及跨医疗保健机构和部门的整合与协调。参与者能够识别社会经济和环境因素,例如学校对健康与保健干预措施的需求,这会影响个人和社区的健康。研究参与者强调了提高社区对健康相关问题和卫生服务可及性的认识的重要性。

结论

收集定性数据为审视人们的看法、动机并让整个社区参与提供了机会。这一过程对于卫生服务的战略规划非常重要。该研究试图填补知识空白,应与卫生政策以及制定社会和文化适宜的卫生项目相联系。

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