2020-2022 年 COVID-19 大流行期间新西兰视力受损者获得医疗和残疾服务的情况。

IF 1 4区 医学 Q4 REHABILITATION Journal of Visual Impairment & Blindness Pub Date : 2022-11-01 DOI:10.1177/0145482X221144324
Gretchen A Good, Solmaz Nazari Orakani, Tara N Officer, Michael Roguski, Karen McBride-Henry
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引用次数: 0

摘要

导言:COVID-19 大流行影响了全球范围内医疗和社会服务的获取,导致人们无法及时获得适当的医疗服务。然而,尽管对普通人群获得服务情况的研究越来越多,但有关大流行病对残疾人影响的信息仍然很少。本文介绍了新西兰奥特亚罗瓦(Aotearoa)视力受损者在获得医疗和残疾支持方面遇到的问题。方法:采用解释性描述方法,对残疾人进行了 62 次访谈,其中 10 人被确认为视力受损。我们对代表不同障碍群体的整个 62 人小组的调查结果进行了专题分析,然后对 10 名视力受损者的调查结果进行了专题分析。结果:访谈产生了五个关键主题,包括交通困难、精神痛苦、失去社区、失去身体接触和信号,以及普遍失去支持。参与者发现,这种失去支持的情况发生在多个层面,这意味着整个残疾和医疗系统没有能力满足他们的需求。与会者报告了获得护理的滞后情况,这意味着由于缺乏可用的支持和资源,他们仍能感受到大流行病的影响。讨论:这篇文章是为数不多的研究之一,研究了大流行对视力受损者获得医疗和残疾服务的影响。文章强调,尽管奥特亚罗瓦在管理大流行病方面有着良好的记录,但在管理 COVID-19 的集体应对措施中,一些群体被遗忘和边缘化了。对从业人员的启示:防盲专业人员必须意识到大流行病和其他灾难对视力受损者可能造成的不利影响,以及他们获得医疗和残疾服务的机会。政策制定者必须让残疾人参与决策,以便满足这些人群的不同需求。
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Access to Health and Disability Services for New Zealanders With Impaired Vision During the COVID-19 Pandemic 2020-2022.

Introduction: The COVID-19 pandemic has affected access to health and social services globally, leading to delays in accessing appropriate care. However, while there is a growing base of research into service access for the general population, there remains scarce information on the implications of the pandemic on disabled people. This article describes issues with health and disability support access for people with impaired vision in Aotearoa New Zealand (Aotearoa). Methods: Applying an Interpretive Description methodology, 62 interviews were conducted with disabled people; 10 of these individuals identified as having impaired vision. Findings were analyzed thematically for the entire group of 62, representing varied impairment groups, and then for the 10 who had impaired vision. Results: Five key themes arose from the interviews, including transportation difficulties, mental distress, loss of community, loss of physical contact and signals, and general loss of support. Participants identified that this loss of support occurred at multiple levels, meaning that the disability and healthcare system as a whole was ill-equipped to manage their needs. Participants reported a lag-time in accessing care, meaning that the effects of the pandemic are still felt due to a lack of available support and resources. Discussion: This article remains one of a few studies to look at the implications of the pandemic on access to health and disability services for those with impaired vision. It highlights that despite Aotearoa's good track record in managing the pandemic, groups were forgotten and marginalized by the collective response to managing COVID-19. Implications for Practitioners: Blindness professionals must be aware of the possible disadvantages and impacts of pandemics and other disasters on people with impaired vision and their access to health and disability services. Policymakers must include disabled people at the decision-making table so that the diverse needs of these populations are managed.

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来源期刊
CiteScore
1.30
自引率
18.20%
发文量
68
期刊介绍: The Journal of Visual Impairment & Blindness is the essential professional resource for information about visual impairment (that is, blindness or low vision). The international peer-reviewed journal of record in the field, it delivers current research and best practice information, commentary from authoritative experts on critical topics, News From the Field, and a calendar of important events. Practitioners and researchers, policymakers and administrators, counselors and advocates rely on JVIB for its delivery of cutting-edge research and the most up-to-date practices in the field of visual impairment and blindness. Available in print and online 24/7, JVIB offers immediate access to information from the leading researchers, teachers of students with visual impairments (often referred to as TVIs), orientation and mobility (O&M) practitioners, vision rehabilitation therapists (often referred to as VRTs), early interventionists, and low vision therapists (often referred to as LVTs) in the field.
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