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为残疾患者提供公平的护理:妇科保健专业人员的考虑因素。

Equitable Care for Patients With Disabilities: Considerations for the Gynecologic Health Care Professional.

机构信息

Sidney Kimmel Medical College, the Department of Rehabilitation Medicine, and the Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, Pennsylvania.

出版信息

Obstet Gynecol. 2024 Apr 1;143(4):475-483. doi: 10.1097/AOG.0000000000005493. Epub 2024 Jan 4.

Abstract

All patients deserve high-quality health care. Patients with disabilities have historically experienced discrimination in health care and subsequently detrimental health outcomes. Health care professionals often lack confidence and preparedness in treating patients with disabilities effectively. Barriers such as communication difficulties, biased assumptions, and inadequate equipment hinder comprehensive care. These barriers to care lead to health inequalities and a diminished overall quality of life for individuals with disabilities. Existing clinical guidelines for care of this underserved population are lacking. This article establishes a comprehensive educational framework and accessible reference tools for gynecologic health care professionals to enhance their ability to offer inclusive and effective care to patients with disabilities. Insights in this article stem from expert consensus among clinicians experienced in this field and ongoing dialog with community-based disability care partners. We present actionable steps to cultivate an open, adaptable, and patient-centric method to actively engage patients and to provide suitable accommodations when needed.

摘要

所有患者都应获得高质量的医疗保健。残疾患者在医疗保健方面历来受到歧视,因此健康状况恶化。医疗保健专业人员在有效治疗残疾患者方面往往缺乏信心和准备。沟通困难、偏见假设和设备不足等障碍阻碍了全面护理。这些护理障碍导致残疾患者健康不平等,整体生活质量下降。现有的针对这一服务不足人群的临床护理指南也有所欠缺。本文为妇科保健专业人员建立了一个全面的教育框架和可访问的参考工具,以增强他们为残疾患者提供包容和有效的护理的能力。本文中的见解源自该领域经验丰富的临床医生的专家共识,以及与社区残疾护理合作伙伴的持续对话。我们提出了切实可行的步骤,以培养一种开放、灵活和以患者为中心的方法,积极与患者接触,并在需要时提供适当的便利。

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