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首页> 外文期刊>Journal of Health Services Research _Policy >The health care experiences of Travellers compared to the general population: the All-Ireland Traveller Health Study
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The health care experiences of Travellers compared to the general population: the All-Ireland Traveller Health Study

机译：旅行者与普通人群相比的医疗保健经验：全爱尔兰旅行者健康研究

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Objectives: Travellers are a minority population in Ireland and Great Britain, who have poorer health statusnthan the general population. This study aims to investigate Traveller health service utilization andnexperiences of health service quality.nMethods: Community-based census survey of all Traveller households on the island of Ireland in 2008 andn2009. Comparisons were made with survey data from a nationally representative sample of the Irish generalnpublic entitled to means-tested general medical services from the INSIGHT ‘07 survey.nResults: Valid responses were provided by 1,947 Traveller respondents (32.5% males). Travellers reportednsignificantly higher use of hospital services including Emergency Room services (sex- and age-adjustednrelative risk (RR) 2.37, 95% CI 1.99–2.82) and mental health services (adjusted RR 2.89, 95% CI 2.02–4.14).nThey described significantly poorer quality health care experiences than did the comparator population, withnfewer Travellers expressing trust in caregivers (adjusted RR 0.51, 95% CI 0.47–0.55) and rating the quality ofnhealth service they received as being very good or excellent (adjusted RR 0.59, 95% CI 0.55–0.64). Afternmultivariable adjustment for the dimensions of service quality, population (Traveller or INSIGHT ‘07) wasnnot associated with an overall rating of health service quality.nConclusions: Travellers report greater use of and adequate access to health services, but describe a consistentlynpoorer quality health care experience. This quality gap has implications for Traveller engagement with healthncare professionals
机译：目标：旅行者是爱尔兰和英国的少数族裔，健康状况比一般人群差。这项研究旨在调查旅行者健康服务的利用和健康服务质量的经验。n方法：2008年和2009年爱尔兰岛上所有旅行者家庭的社区普查。与来自爱尔兰大国民共和国的全国代表性样本的调查数据进行了比较，该样本有权获得INSIGHT '07调查的经过经济状况调查的一般医疗服务。n结果：1,947名Traveler受访者（男性占32.5％）提供了有效的答案。旅行者报告说，医院服务的使用率显着提高，包括急诊室服务（经性别和年龄调整后的相对危险度（RR）2.37，95％CI 1.99–2.82）和心理健康服务（经调整的RR 2.89，95％CI 2.02-4.14）。相比于比较人群，卫生保健服务的质量明显较差，旅行者对看护者表示信任（调整后的RR 0.51，95％CI 0.47-0.55），并且将他们收到的健康服务的质量评为非常好或优秀（调整后的RR 0.59、95） ％CI 0.55-0.64）。之后，对服务质量，人群（旅行者或INSIGHT '07）的维度进行了多变量调整，与健康服务质量的总体评分无关。n结论：旅行者报告了对健康服务的更多使用和充分获得，但是描述了质量持续较差的健康护理经历。这种质量差距会影响旅行者与医疗保健专业人员的互动

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