The accessibility of vulnerable groups to health services in Greece: a Delphi study on the perceptions of health professionals
The accessibility of vulnerable groups to health services in Greece: a Delphi study on the perceptions of health professionals
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DOI：
10.1002/hpm.2115
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发表时间：
2013-01-01
影响因子：
2.7
通讯作者：
Kaitelidou, Daphne
中科院分区：
文献类型：
--
作者：
Karamitri, Ioanna;Bellali, Thalia;Kaitelidou, Daphne
背景 获得医疗服务的问题尤其影响某些人群，如穷人和失业者、移民和少数民族，从而对他们的健康产生负面影响。本研究的目的是从卫生专业人员的角度调查这些问题，并提出解决问题的经验性建议。方法 希腊各地 36 名经验丰富的卫生专业人员组成的小组于 2010-2011 年收集了主要数据。采用两轮德尔菲法来实现研究目标。第一份调查问卷调查了阻碍获得卫生服务的因素。第二轮旨在确定第一轮中出现的每个因素的相对重要性。结果专家组在第一轮中确定了345个因素，分为55个陈述。 22 份声明达成了共识。该研究揭示了重要问题，卫生专业人员提出了一系列行动来消除无障碍问题。结论 使用医疗口译员和文化调解员、跨文化教育以及加强医疗机构之间的联系对于减少无障碍问题非常重要。重组初级医疗保健和更好地记录受益人也可以提高所提供医疗保健服务的质量。版权所有 (c) 2012 John Wiley & Sons, Ltd.
Background Problems of accessibility to healthcare services notably affect certain population groups such as poor and unemployed people, migrants and minorities, thus having a negative impact on their health. The aim of this study was to investigate these problems from the perspective of health professionals and to formulate empirically informed suggestions to solve the issue. Methods Primary data were collected in 20102011 by using a panel of 36 experienced health professionals around Greece. A two-round Delphi method was undertaken to achieve the objectives of the study. The first questionnaire investigated the factors that hinder accessibility to health services. The second round aimed at determining the relative importance of each of the factors emerging in the first round. Results The group of experts identified 345 factors in the first round, which were grouped in 55 statements. Consensus was achieved in 22 statements. The study revealed important issues, and health professionals proposed a number of actions to eliminate the accessibility problems. Conclusions The use of medical interpreters and cultural mediators, transcultural education and stronger linkages among medical facilities are important to reduce accessibility problems. Restructuring primary healthcare and better documenting of the beneficiaries could also improve the quality of provided healthcare services. Copyright (c) 2012 John Wiley & Sons, Ltd.