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考察新冠疫情对佛罗里达州独立生活中心工作人员及消费者的影响。

Examining the impact of the COVID-19 pandemic among staff and consumers at Florida centers for independent living.

作者信息

Allen-Mitchell Acquel, Stetten Nichole E, Basaria Kashif, Cox Lauren, Marlow Nicole M

机构信息

University of Florida, College of Public Health and Health Professions, 1225 Center Drive, Gainesville, FL, 32610, USA.

Brown University, School of Public Health, Survey Research Center, 155 S. Main St., Providence, RI, 02903, USA.

出版信息

Disabil Health J. 2025 Apr;18(2):101751. doi: 10.1016/j.dhjo.2024.101751. Epub 2024 Nov 16.

Abstract

BACKGROUND

People with disabilities (PWD) face health disparities due to barriers that limit their access to essential healthcare services. During the COVID-19 pandemic, health disparities among PWD increased as stay-at-home mandates and other safety measures interrupted access to healthcare and social services. Community-based and consumer-driven Centers for Independent Living (CILs) attempt to reduce disparities faced by PWD by providing information and referrals, peer counseling, and advocacy.

OBJECTIVE

Despite funding to utilize public health workers to respond to the COVID-19 pandemic and prepare for future crises, the literature currently lacks examinations of the impact of the COVID-19 pandemic on CIL consumers and staff.

METHODS

This qualitative study employed a directed content analysis to evaluate 6 consumer focus groups (N = 35) and 4 staff focus groups (N = 14).

RESULTS

Through data analysis, staff themes included Resource Gaps, COVID-19 Concerns, Impact on Independence, Impact on Health, Work Demand Changes, and Work/Life Balance. Among consumers, themes of CIL Service Experiences, CIL Benefits, COVID-19 Concerns of Using CILs, COVID-19 Barriers to Using CILs, Impact on Independence, Impact on Health, Resource Gaps, and Recommendations for CILs were present.

CONCLUSIONS

This study demonstrates the diverse experiences among PWD during the COVID-19 pandemic. However, there are similarities in the impact of environmental factors on the severity of disability experienced by consumers and staff. This study highlights the benefits of independent community living resource centers and the need to better understand the experiences of PWD to prepare for future pandemics.

摘要

背景

残疾人由于面临限制其获得基本医疗服务的障碍,因此存在健康差异。在新冠疫情期间,由于居家令和其他安全措施打断了获得医疗和社会服务的机会,残疾人中的健康差异有所增加。基于社区且由消费者驱动的独立生活中心(CIL)试图通过提供信息与转诊、同伴咨询及宣传来减少残疾人面临的差异。

目的

尽管已获得资金用于利用公共卫生工作者应对新冠疫情并为未来危机做准备,但目前的文献缺乏对新冠疫情对独立生活中心消费者和工作人员影响的研究。

方法

这项定性研究采用定向内容分析法,对6个消费者焦点小组(N = 35)和4个工作人员焦点小组(N = 14)进行评估。

结果

通过数据分析,工作人员的主题包括资源差距、对新冠疫情的担忧、对独立性的影响、对健康的影响、工作需求变化以及工作/生活平衡。在消费者中,出现了独立生活中心服务体验、独立生活中心的益处、使用独立生活中心对新冠疫情的担忧、使用独立生活中心的新冠疫情障碍、对独立性的影响、对健康的影响、资源差距以及对独立生活中心的建议等主题。

结论

本研究展示了新冠疫情期间残疾人的多样经历。然而,环境因素对消费者和工作人员所经历残疾严重程度的影响存在相似之处。本研究凸显了独立社区生活资源中心的益处,以及更好地了解残疾人经历以应对未来大流行的必要性。

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