Needs of an uninsured equity-deserving minority patient cohort with physical disabilities during the first wave of the COVID-19 pandemic.
Needs of an uninsured equity-deserving minority patient cohort with physical disabilities during the first wave of the COVID-19 pandemic.
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DOI：
10.3389/fresc.2023.1000838
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Smith, A. C.
中科院分区：
文献类型：
--
作者：
Claus, D.;Draganich, C.;Berliner, J.;Niehaus, W.;Berliner, J.;Magnusson, D.;Smith, A. C.
关键词：
残疾患者和来自不同背景、应享有公平权利的患者受到 SARS COV-2（“COVID-19”）大流行的影响尤为严重。描述在 COVID-19 大流行的最初几个月中，影响一组接受康复诊断的未参保患者（来自应享有公平权利的群体）的重大健康需求和社会决定因素。回顾性队列研究，利用 2020 年 4 月至 10 月基于电话的需求评估。免费的跨学科康复诊所为来自值得公平的少数族裔背景的身体残疾患者提供服务。 51 名没有保险的不同患者患有脊髓损伤、脑损伤、截肢、中风和其他需要跨学科康复护理的诊断。使用非结构化方法，每月收集基于电话的需求评估。报告的需求被归纳为主题，并记录每个主题的频率。从担忧总数来看，报告频率最高的是医疗问题（46%），其次是设备需求（30%）和心理健康问题（30%）。其他经常提到的需求主要围绕租金、就业和供应等主题。前几个月提到租金和就业问题的频率更高，而后几个月提到设备问题的频率更高。少数患者表示他们没有需求，其中一些人已经购买了保险。我们的目标是描述在 COVID-19 的最初几个月里，在专门的跨学科康复公益诊所就诊的一群不同种族和民族的身体残疾的未参保人士的需求。医疗问题、设备需求和心理健康问题是排名前三位的需求。为了为他们提供最佳服务，护理提供者必须了解服务不足的患者当前和未来的需求，特别是在未来发生封锁的情况下。
Patients with disabilities and those from diverse equity-deserving backgrounds have been disproportionately affected by the SARS COV-2 (“COVID-19”) pandemic. To describe the significant needs and social determinants of health that affected a group of uninsured patients (from equity-deserving groups) with rehabilitation diagnoses during the early months of the COVID-19 pandemic. Retrospective cohort study utilizing a telephone-based needs assessment from April to October, 2020. Free interdisciplinary rehabilitation clinic serving patients with physical disabilities from equity-deserving minority backgrounds. 51 uninsured, diverse patients with spinal cord injuries, brain injuries, amputations, strokes, and other diagnoses requiring interdisciplinary rehabilitation care. Using a non-structured approach, telephone-based needs assessments were collected monthly. Reported needs were summarized into themes and the frequencies of each theme were recorded. From the total number of concerns, medical issues were reported with the highest frequency (46%), followed by equipment needs (30%) and mental health concerns (30%). Other frequently mentioned needs centered around themes of rent, employment, and supplies. Rent and employment were more frequently cited in earlier months, and equipment problems were more frequently cited in later months. A minority of patients reported they had no needs, some of whom had acquired insurance. Our objective was to describe the needs of a racially and ethnically diverse set of uninsured individuals with physical disabilities seen at a specialized interdisciplinary rehabilitation pro bono clinic during the early months of COVID-19. Medical issues, equipment needs, and mental health concerns were the top three needs. To optimally serve them, care providers must be aware of current and future needs for their underserved patients, especially if future lockdowns occur.
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