农村医院对社区卫生的贡献:新西兰一家农村医院的社区观点。

IF 1.1 Q4 PRIMARY HEALTH CARE Journal of primary health care Pub Date : 2024-09-01 DOI:10.1071/HC24058
Stephen Ram, Karen Carlisle, Sarah Larkins, Katharina Blattner
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引用次数: 0

摘要

导言 农村医院为新西兰大部分农村人口提供二级医疗服务。社区对医院的健康和社会贡献的看法却鲜为人知。这项描述性定性研究旨在探讨毛利人和太平洋裔人口较多的社会经济地位较低的农村地区的社区对其农村医院作用的看法。研究方法 对农村社区成员进行了半结构化个人访谈和焦点小组访谈,了解他们对乡镇医院作用的看法。并进行了迭代主题分析。结果 共有 22 人接受了访谈。主题分析产生了四个主题:(i) 乡镇医院作为安全网--提供急诊服务并缓解初级医疗服务有限的问题;(ii) 提供个性化、具有文化意识的医疗服务;(iii) 促进家庭/瓦瑙人的支持;(iv) 利用有限的资源做到最好。后者包括对资源限制的务实态度,但希望医院继续开放。讨论 农村医院通过增加获得紧急医疗服务的机会和减轻获得初级医疗服务的困难,为社区安全做出了贡献。农村医院服务提供者对当地情况的了解使其能够提供个性化的、以家庭为中心的、符合当地文化的医疗服务。尽管服务集中化,但乡村医院仍受到社区的欢迎。农村医疗规划者应考虑如何最大限度地扩大当地提供的服务范围,以减少旅行和转院对医疗服务的影响。
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Rural hospital contributions to community health: community perspectives from a New Zealand rural hospital.

Introduction Rural hospitals provide secondary care for much of the rural New Zealand population. Little is known about community perspectives of the health and social contribution. Aim This descriptive qualitative study aimed to explore community views on the role of their rural hospital in a low socioeconomic rural district with a high Māori and Pacific population. Methods Semi-structured individual and focus group interviews were conducted with rural community members about the perceived role of their rural hospital. Iterative thematic analysis was undertaken. Results In total, 22 participants were interviewed. Thematic analysis yielded four themes: (i) rural hospitals as a safety net - providing access to emergency care and mitigating limited primary care access; (ii) providing personalised, culturally aware care; (iii) facilitating family/whanau support; and (iv) doing the best with limited resources. The latter included pragmatism about resource constraints, but a preference for the hospital to remain open. Discussion Rural hospitals contribute to community safety by enhancing access to emergency care and mitigating difficulties in access to primary care. The local contextual knowledge of rural hospital providers allows personalised, family-centred and culturally-responsive care. Despite service centralisation, rural hospitals are wanted by their communities. Rural health planners should consider how to maximise the breadth of locally-provided services to reduce the impacts of travel and transfer for care.

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来源期刊
Journal of primary health care
Journal of primary health care PRIMARY HEALTH CARE-
CiteScore
2.70
自引率
16.70%
发文量
79
审稿时长
28 weeks
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