有智力障碍人士的可及性乳房筛查策略。
Strategies for Accessible Breast Screening for People With Intellectual Disability.
机构信息
UNSW Sydney, Sydney, NSW, Australia.
出版信息
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241251938. doi: 10.1177/21501319241251938.
INTRODUCTION
People with intellectual disability are less likely to participate in breast screening than people without intellectual disability. They experience a range of barriers to accessing breast screening, however, there is no consensus on strategies to overcome these barriers. Our objective was to reach consensus on the strategies required for accessible breast screening for people with intellectual disability.
METHODS
Fourteen experts participated in a modified on-line Delphi that used Levesque's model of health care access as the theoretical framework. At the end of each round descriptive and thematic analyses were completed. Data was then triangulated to determine if consensus was reached.
RESULTS
After 3 rounds, 9 strategies were modified, 24 strategies were added and consensus was reached for 52 strategies across the 5 dimensions of access. Key areas of action related to (i) decision making and consent, (ii) accessible information, (iii) engagement of peer mentors, (iv) service navigators, and (v) equipping key stakeholders.
CONCLUSIONS
The resulting strategies are the first to articulate how to make breast screening accessible and can be used to inform health policy and quality improvement practices.
简介
与无智力障碍者相比，智力障碍者参与乳房筛查的可能性较低。他们在接受乳房筛查方面面临着一系列障碍，但对于克服这些障碍的策略尚无共识。我们的目标是就智力障碍者可获得乳房筛查所需的策略达成共识。
方法
14 名专家参加了一项修改后的在线德尔菲法，该方法使用 Lévesque 的医疗保健获取模型作为理论框架。在每一轮结束时，都完成了描述性和主题分析。然后对数据进行三角测量，以确定是否达成了共识。
结果
经过 3 轮，有 9 项策略被修改，有 24 项策略被添加，在 5 个可及性维度上达成了 52 项策略的共识。主要行动领域涉及：（i）决策和同意，（ii）可及信息，（iii）同伴导师的参与，（iv）服务导航员，以及（v）装备关键利益相关者。
结论
由此产生的策略是首次阐明如何使乳房筛查具有可及性，可用于为卫生政策和质量改进实践提供信息。
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