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首页> 外文期刊>Qualitative health research >Beyond barriers in studying disparities in women's access to health services in Ontario, Canada: A qualitative metasynthesis
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Beyond barriers in studying disparities in women's access to health services in Ontario, Canada: A qualitative metasynthesis

机译：研究加拿大安大略省妇女在获得保健服务方面的差异方面的障碍：定性合成

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摘要

Women live within complex and differing social, economic, and environmental circumstances that influence options to seek health care. In this article we report on a metasynthesis of qualitative research concerning access disparities for women in the Canadian province of Ontario, where there is a publicly funded health care system. We took a metastudy approach to analysis of results from 35 relevant qualitative articles to understand the conditions and conceptualizations of women's inequitable access to health care. The articles' authors attributed access disparities to myriad barriers. We focused our analysis on these barriers to understand the contributing social and political forces. We found that four major, sometimes countervailing, forces shaped access to health care: (a) contextual conditions, (b) constraints, (c) barriers, and (d) deterrents. Complex convergences of these forces acted to push, pull, obstruct, and/or repel women as they sought health care, resulting in different patterns of inequitable access.
机译：妇女生活在复杂，不同的社会，经济和环境环境中，这些环境会影响寻求医疗保健的选择。在本文中，我们报告了有关加拿大安大略省（该省有公共资助的卫生保健系统）中妇女的出入差异的定性研究的综合研究。我们采用了元研究的方法来分析35篇相关定性文章的结果，以了解妇女不平等获得医疗保健的条件和概念。文章的作者将访问差异归因于无数障碍。我们将分析重点放在这些障碍上，以了解促成的社会和政治力量。我们发现，有四个主要的，有时是反补贴的力量塑造了获得医疗保健的机会：（a）情况，（b）制约因素，（c）障碍和（d）威慑力。这些力量的复杂融合在妇女寻求医疗保健时推动，拉扯，阻碍和/或排斥妇女，导致出现各种形式的不平等获得机会。

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