韩国社会经济状况不佳的肺结核患者的健康权:AAAQ 框架分析。

IF 3.6 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Policy Pub Date : 2024-12-09 DOI:10.1016/j.healthpol.2024.105236
Juyeon Lee, Yeori Park, Myoung-Hee Kim
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引用次数: 0

摘要

结核病是一种贫困疾病,继续对全世界社会经济处境不利的人群造成严重影响。鉴于最近 COVID-19 大流行后结核病的重新抬头,这一点尤其令人担忧。在韩国,尽管社会经济有了长足的发展,但结核病仍然是一个突出的问题,是该国最主要的传染病杀手。与肺结核相关的严重耻辱感,加上肺结核患者的严重脆弱性,导致这些患者的声音在政策和研究中完全没有得到充分反映。本文针对这一研究空白,通过联合国 AAAQ(可用性、可及性、可接受性、质量)健康权框架的视角,对韩国国家结核病控制工作进行了定性评估。通过实地观察和对肺结核患者、医疗服务提供者、政策制定者和倡导者进行的 20 次深入访谈,我们探讨了社会经济地位低下的肺结核患者在韩国获得护理和支持的生活经历。研究结果表明,未能将健康权融入结核病护理和支持中,包括服务的可提供性、可获得性、可接受性以及服务质量未能充分满足这一人群的需求,是造成韩国结核病负担的重要原因。研究结果对结核病高负担国家或结核病复发国家的结核病政策和实践具有重要意义。在结核病护理和支持中优先考虑健康权对于有效防治这种疾病至关重要。
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The right to health for socioeconomically disadvantaged TB patients in South Korea: An AAAQ framework analysis.

Tuberculosis, a disease of poverty, continues to disproportionately affect socioeconomically disadvantaged populations worldwide. This is particularly concerning given the recent resurgence of TB following the COVID-19 pandemic. In South Korea, despite substantial socioeconomic development, TB remains a prominent problem, ranking as the leading infectious killer in the country. The severe stigma associated with TB, coupled with the significant vulnerability of TB patients, has resulted in the voices of these patients being completely underrepresented in both policy and research. This article addresses this research gap by conducting a qualitative assessment of Korea's national TB control efforts through the lens of the UN's AAAQ (Availability, Accessibility, Acceptability, Quality) right to health framework. Through field observations and 20 in-depth interviews with TB patients, healthcare providers, policymakers, and advocates, we explore the lived experiences of socioeconomically disadvantaged TB patients in accessing care and support in Korea. Findings reveal that the failure to integrate the right to health into TB care and support, including inadequate availability, accessibility, acceptability, and quality of services tailored to the needs of this population, contributes significantly to Korea's TB burden. The findings have important implications for TB policy and practice in countries with high TB burdens or those experiencing a resurgence of TB. Prioritizing the right to health in TB care and support is crucial to effectively combat this disease.

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来源期刊
Health Policy
Health Policy 医学-卫生保健
CiteScore
6.40
自引率
6.10%
发文量
157
审稿时长
3-8 weeks
期刊介绍: Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.
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