...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Health Services Research >Access to specialty healthcare in urban versus rural US populations: a systematic literature review
【24h】

Access to specialty healthcare in urban versus rural US populations: a systematic literature review

机译：在城市与农村群体中获得特色医疗保健：系统文献综述

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND:Access to healthcare is a poorly defined construct, with insufficient understanding of differences in facilitators and barriers between US urban versus rural specialty care. We summarize recent literature and expand upon a prior conceptual access framework, adapted here specifically to urban and rural specialty care.METHODS:A systematic review was conducted of literature within the CINAHL, Medline, PubMed, PsycInfo, and ProQuest Social Sciences databases published between January 2013 and August 2018. Search terms targeted peer-reviewed academic publications pertinent to access to US urban or rural specialty healthcare. Exclusion criteria produced 67 articles. Findings were organized into an existing ten-dimension care access conceptual framework where possible, with additional topics grouped thematically into supplemental dimensions.RESULTS:Despite geographic and demographic differences, many access facilitators and barriers were common to both populations; only three dimensions did not contain literature addressing both urban and rural populations. The most commonly represented dimensions were availability and accommodation, appropriateness, and ability to perceive. Four new identified dimensions were: government and insurance policy, health organization and operations influence, stigma, and primary care and specialist influence.CONCLUSIONS:While findings generally align with a preexisting framework, they also suggest several additional themes important to urban versus rural specialty care access.
机译：背景：对医疗保健的访问是一个明确的构造，不足以了解我们都市与农村专业护理的促进者和障碍的差异。我们总结了最近的文献，并在现有的概念访问框架上扩展，此处特殊于城乡专业护理。方法：系统评价是在1月期间发布的Cinahl，Medline，PubMed，Psycinfo和Proquest社会科学数据库内的文学进行了系统审查2013年和2018年8月。搜索条件有针对性的同行评审出版物，以获取美国城市或农村专业医疗保健。排除标准制作了67篇文章。在可能的情况下，调查结果被组织成现有的十维护理访问概念框架，其中额外的主题将主题分组为补充尺寸。结果：尽管地理和人口统计差异，但两个人口都是共同的访问促进者和障碍;只有三个维度没有包含涉及城乡人口的文献。最常用的尺寸是可用性和住宿，适当性和感知能力。四个新的确定尺寸是：政府和保险政策，卫生组织和运营影响，耻辱和初级保健和专业影响。结论，而调查结果通常与预先存在的框架保持一致，他们还建议对城市与农村专业关注重要的几个额外主题使用权。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号