医疗保健服务：一项针对智障人士的医院麻醉方案的实施与效果
Access to Health Care: Implementation and Outcomes of a Hospital-Based Anaesthesia Protocol for People With Intellectual Disability.
作者信息
Bellon Michelle, Forooziya Farima, Mitchell Rodney, Liberali Sharon, Welsh Monica, Jones Paul, Searle Stephanie
机构信息
South Australian Intellectual Disability Health Service, Northern Adelaide Local Health Network, SA Health, Adelaide, Australia.
College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
出版信息
J Appl Res Intellect Disabil. 2025 Jul;38(4):e70100. doi: 10.1111/jar.70100.
BACKGROUND
People with intellectual disability face numerous barriers to accessing basic preventative health care. This study documents the protocol, process and health outcomes of a multidisciplinary hospital-based Health Care Access Service providing pre-procedure sedation and general anaesthesia for adults with moderate to profound intellectual disability and complexity.
METHOD
In this retrospective quality assurance study, development of the protocol, procedures and outcomes (demographic data, procedures performed and health outcomes) are presented for all patients from commencement of the service for the first 8 month period.
RESULTS
Ten people received the service over this time (8 males, 2 females; mean age 30.2 years). Investigation results identified a range of health conditions which are now being appropriately managed. A case study illustrates the process of implementing the protocol, procedures and outcomes, illustrating person-centred and trauma-informed approaches.
CONCLUSIONS
Service design considerations are discussed from a human rights perspective for future implementation efforts.
背景
智障人士在获取基本预防性医疗保健方面面临诸多障碍。本研究记录了一项基于医院的多学科医疗保健接入服务的方案、流程和健康结果，该服务为中度至重度智障及复杂情况的成年人提供术前镇静和全身麻醉。
方法
在这项回顾性质量保证研究中，呈现了从服务开始的前8个月期间所有患者的方案制定、流程及结果（人口统计学数据、所进行的手术及健康结果）。
结果
在此期间有10人接受了该服务（8名男性，2名女性；平均年龄30.2岁）。调查结果确定了一系列目前正在得到妥善管理的健康状况。一个案例研究说明了实施方案、流程和结果的过程，展示了以患者为中心和注重创伤知情的方法。
结论
从人权角度讨论了服务设计考量，以供未来实施工作参考。
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