格鲁吉亚卫生保健提供者与社区公共卫生客户的经验

D. Rodriguez, Erin Manley, Nilofer Bharwani
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引用次数: 0

摘要

社区卫生和公共服务工作者在社区公共卫生中发挥着不可或缺的作用。它们对于满足经常处于社会边缘的患者的需求尤其不可或缺。虽然我们经常从最终用户(患者或客户)的角度进行研究,但我们并没有经常听到卫生和公共服务专业人员的声音。本研究的目的是从佐治亚州两个县的社区卫生提供者的角度考察公共卫生患者的医疗保健需求。通过这项案例研究,利用三个焦点小组与当地公共卫生部门的员工和附属人类服务提供商收集的定性数据,作为他们五年一次的社区卫生需求评估(CHNA)的一部分,我们呼吁关注提供商认为值得关注的几个个人和系统性问题。其中包括客户寻求健康的信息和行为,以及健康保险和医疗服务在改善身体、心理和性健康方面的作用。从系统上讲,提供者确定了某些人群在获得护理和获得护理质量方面的地位、污名和消费者观念的挑战,以及提供者的偏见如何阻碍健康。尽管CHNA的数据收集是在新冠肺炎大流行之前进行的,但我们对数据的检查是在大流行最严重的时候进行的。因此,在本文中,我们还为那些在前所未有的情况下忍受了疫情并寻求满足患者需求的公共卫生和公共服务提供者提供了实际意义和未来方向。
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Georgia Health Care Providers’ Experiences With Community Public Health Clients
Community health and human services workers play an integral role in communal public health. They are especially integral to meeting the needs of patients who are often on the margins of society. While we often conduct research from the perspective of the end-user – the patient or the client – we do not hear the voices of health and human services professionals with the same regularity. The purpose of this study is to examine the healthcare needs of public health patients from the perspective of community health providers in two Georgia counties. Through this case study, utilizing qualitative data garnered through three focus groups with the local public health department’s employees and affiliated human services providers as part of their quintennial Community Health Needs Assessment (CHNA), we call attention to several individual and systemic issues providers have identified as worthy of concern. These include health seeking information and behaviors of their clients, as well as the role of health insurance and health access for improved physical, mental, and sexual health. Systemically, providers identify the challenges of status, stigma, and consumer perceptions in the access and quality of care certain segments of the population receive and how provider bias can impede wellbeing. Although the CHNA data collection took place prior to the COVID-19 pandemic, our examination of the data took place during the height of the pandemic. As such, in this paper, we also provide practical implications and future directions for public health and human services providers who have endured the pandemic and sought to meet their patients’ needs during unprecedented circumstances.
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