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The Broader Impact of Disability Research: Aligning Public Policy with the Experiences of People with Disabilities and Healthcare Providers

机译：残疾人研究的广泛影响：使公共政策与残疾人和医疗保健提供者的经验保持一致

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摘要

The general purpose of this three-article dissertation is to investigate public policy issues salient to people with disabilities, their families, and healthcare providers. The studies in this dissertation are united by a conceptual framework and applied policy research methods. The first article in this dissertation, "The Relationship between Psychological Assets and Employment in Individuals with Physical Disabilities", was designed as a secondary analysis of existing data. Using cross-sectional survey data collected as part of the Rehabilitation Research and Training Center on Healthy Aging and Physical Disability, the purpose of this study was to determine the relative importance of resilience and self-efficacy in explaining employment status for people with physical disabilities after controlling for sociodemographic and disease covariates. Data were analyzed using multiple logistic regression with sequential predictor entry. Results indicate that resilience but not self-efficacy was uniquely predictive of employment status. We found in this study preliminary evidence to suggest that rehabilitation professionals should consider the importance of a client's psychological resources with respect to employment. The second article in this dissertation, "Durable Medical Equipment Reuse and Recycling: Uncovering Hidden Opportunities for Reducing Medical Waste", was designed as a basic interpretive qualitative study. The purpose of this study was to investigate the phenomenon of durable medical equipment (DME) reuse and recycling in the context of a healthcare delivery system as a first step in understanding how hospitals manage DME waste and how healthcare providers conceive of their role in preventing DME waste. The findings for this study include descriptions of the process for patients to acquire both new and used DME and environmental sustainability practices for reducing DME waste generated by hospitals. The third and final article in this dissertation, "The Experience of Homecare Providers and Beneficiaries with Enhanced Training Requirements in Washington State", was also designed as a basic interpretive qualitative study. This study was conducted as the first phase in a potential multiphase study to develop a battery of self-report instruments for evaluating consumers' satisfaction with their homecare and for assessing health-related quality of life outcomes presumed to improve with quality caregiving. We used exploratory research to identify domains relevant to a new homecare aide training and certification program that was mandated by Washington State Initiative 1163. The findings for this study include a description of the components of person-centered delivery of care and an assessment of the homecare aide training from the perspective of some consumers and homecare aides in Washington State.
机译：这三篇论文的总体目的是调查对残疾人，他们的家庭和医疗保健提供者而言重要的公共政策问题。本文的研究是通过概念框架和应用政策研究方法相结合的。本文的第一篇文章是“心理资产与肢体残疾人就业之间的关系”，旨在对现有数据进行二次分析。使用作为健康老龄和肢体残疾康复研究和培训中心一部分收集的横断面调查数据，本研究的目的是确定韧性和自我效能感在解释肢体残疾患者就业状况后的相对重要性。控制社会人口统计学和疾病的协变量。使用具有顺序预测变量输入的多重逻辑回归分析数据。结果表明，韧性而非自我效能感可以唯一地预测就业状况。我们在这项研究中发现初步证据表明，康复专业人员应考虑服务对象的心理资源对就业的重要性。本论文的第二篇文章“耐用的医疗设备再利用和循环利用：揭示减少医疗废物的隐藏机会”，被设计为基本的解释性定性研究。这项研究的目的是在医疗保健提供系统的背景下研究持久性医疗设备（DME）的再利用和回收现象，以此作为了解医院如何管理DME废物以及医疗保健提供者如何构想其在预防DME中的作用的第一步浪费。这项研究的结果包括对患者获取新的和使用过的DME的过程的描述，以及环境可持续性实践，以减少医院产生的DME浪费。本论文的第三篇也是最后一篇文章“华盛顿州家庭护理提供者和受益者的培训要求得到提高”，也被设计为基本的定性研究。这项研究是一项潜在的多阶段研究的第一阶段，旨在开发一系列自我报告工具，用于评估消费者对其家庭护理的满意度以及评估与健康相关的生活质量，这些结果被认为可以通过优质的护理而得到改善。我们使用探索性研究来确定与华盛顿州计划1163强制实施的新家庭护理助手培训和认证计划相关的领域。本研究的结果包括对以人为本的医疗服务组成部分的描述以及对家庭护理的评估从华盛顿州的一些消费者和家庭护理助手的角度进行助手培训。

著录项

  • 作者

    Ordway, Anne R.;

  • 作者单位

    University of Washington.;

  • 授予单位 University of Washington.;
  • 学科 Health sciences.;Public policy.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 114 p.
  • 总页数 114
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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