Department of Vulnerabilities and Social Medicine, Centre for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Eur J Public Health. 2022 Aug 1;32(4):548-556. doi: 10.1093/eurpub/ckac056.
d/Deaf people suffer from inequitable access to healthcare and health information. This results in worse health literacy and poorer mental and physical health compared to hearing populations. Various interventions aimed at improving health equity for d/Deaf people have been documented but not systematically analyzed. The purpose of this systematic review is to obtain a global overview of what we know about interventions aimed at improving health equity for d/Deaf people.
Medline Ovid SP, Embase, CINAHL EBSCO, PsycINFO Ovid SP, Central-Cochrane Library Wiley and Web of Science were searched for relevant studies on access to healthcare and health-related interventions for d/Deaf people following the PRISMA-equity guidelines. We focused on interventions aimed at achieving equitable care and equitable access to health information for d/Deaf people.
Forty-six studies were identified and analyzed. Seven categories of interventions facing healthcare or health education inequities emerged: use of Sign Language (1), translation, validation and identification of clinical tools and scales (2), healthcare provider training program (3), development of adapted healthcare facilities (4), online interventions (5), education programs (6) and videos (7). Despite some methodological limitations or lack of data, these interventions seem relevant to improve equity of care and health education for d/Deaf people.
Interventions that promote healthcare equity, health education amongst d/Deaf patients and healthcare provider awareness of communication barriers and cultural sensitivity show promise in achieving more equitable care for d/Deaf patients. Meaningful engagement of d/Deaf individuals in the conceptualization, implementation and evaluation of health-related interventions is imperative.
聋人在获得医疗保健和健康信息方面存在不平等现象。这导致他们的健康素养较差，身心健康状况较听力人群更差。已经记录了各种旨在改善聋人健康公平的干预措施，但尚未进行系统分析。本系统评价的目的是全面了解旨在改善聋人健康公平的干预措施。
根据 PRISMA 公平准则，检索 Medline Ovid SP、Embase、CINAHL EBSCO、PsycINFO Ovid SP、Central-Cochrane Library Wiley 和 Web of Science 中有关聋人获得医疗保健和与健康相关干预措施的相关研究。我们专注于旨在实现聋人公平护理和公平获取健康信息的干预措施。
确定并分析了 46 项研究。出现了七种面临医疗保健或健康教育不公平的干预类别：使用手语（1）、翻译、验证和确定临床工具和量表（2）、医疗保健提供者培训计划（3）、开发适应医疗设施（4）、在线干预措施（5）、教育计划（6）和视频（7）。尽管存在一些方法学上的限制或缺乏数据，但这些干预措施似乎有助于改善聋人公平护理和健康教育。
促进医疗保健公平、聋人患者健康教育以及医疗保健提供者对沟通障碍和文化敏感性认识的干预措施有望为聋人患者提供更公平的护理。聋人个人在健康相关干预措施的概念化、实施和评估中的有意义参与至关重要。
