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[智利失聪女性获取医疗保健信息及生殖保健服务的情况]

[Access of chilean deaf women to healthcare information and reproductive care].

作者信息

Carvajal G Bielka, Rebolledo S Jame, Flández Ninoska, Fariña Tania, Sierralta Vianney

机构信息

Departamento de Promoción de la Salud de la Mujer y el Recién Nacido, Universidad de Chile, Santiago, Chile.

Departamento de Kinesiología, Universidad de Chile, Santiago, Chile.

出版信息

Rev Med Chil. 2021 Sep;149(9):1317-1321. doi: 10.4067/S0034-98872021000901317.

DOI:10.4067/S0034-98872021000901317
PMID:35319685
Abstract

BACKGROUND

The COVID-19 pandemic threatened the accessibility and response of healthcare systems worldwide. People with disabilities face specific access challenges to healthcare services and to healthcare information in accessible formats.

AIM

To explore how deaf women acceded to information and sexual and reproductive health care during the first wave of COVID-19.

MATERIAL AND METHODS

Sixty-one women with a median age of 32 years diagnosed with deafness and hearing loss were surveyed using an online questionnaire about access to healthcare information and midwifery care during the COVID-19 pandemic.

RESULTS

Forty-nine percent of respondents lived in the Metropolitan Region. Sixty-eight percent of respondents mentioned that information about COVID-19 was not accessible for them. The main source of information that they used to learn about the pandemic were videos made by deaf people available on the internet. Seventy-five percent of women reported that they had not received accessible information about sexual and reproductive health, and 70.0% of women requiring midwife care could not book an appointment.

CONCLUSIONS

The pandemic generated a crisis in the Chilean healthcare system that demands a new strategy to ensure people's healthcare access. People with disabilities such as those herein studied are marginalized when these new policies are being discussed and implemented. Decision-makers and sexual and reproductive health services must improve their strategies to allow women with disabilities, particularly deaf women gain access.

摘要

背景

新冠疫情威胁到全球医疗系统的可及性和应对能力。残疾人在获取医疗服务和以无障碍形式获取医疗信息方面面临特殊挑战。

目的

探讨在新冠疫情第一波期间,失聪女性如何获取信息以及获得性与生殖健康护理。

材料与方法

对61名中位年龄为32岁、被诊断为失聪和听力损失的女性进行在线问卷调查,了解她们在新冠疫情期间获取医疗信息和助产护理的情况。

结果

49%的受访者居住在首都大区。68%的受访者表示她们无法获取有关新冠疫情的信息。她们了解疫情的主要信息来源是互联网上失聪者制作的视频。75%的女性报告称她们没有收到有关性与生殖健康的无障碍信息,70.0%需要助产护理的女性无法预约。

结论

疫情在智利医疗系统引发了危机,需要新的策略来确保人们能够获得医疗服务。在讨论和实施这些新政策时,像本文所研究的这类残疾人被边缘化。决策者和性与生殖健康服务机构必须改进其策略,以使残疾女性,尤其是失聪女性能够获得服务。

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