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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Money is Brain: Financial Barriers and Consequences for Canadian Stroke Patients
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Money is Brain: Financial Barriers and Consequences for Canadian Stroke Patients

机译：金钱是大脑：加拿大卒中患者的财务障碍和后果

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Background: Stroke patients of lower socioeconomic status have worse outcomes. It remains poorly understood whether this is due to illness severity or personal or health system barriers. We explored the experiences of stroke patients with financial barriers in a qualitative descriptive pilot study, seeking to capture perceived challenges that interfere with their poststroke health and recovery. Methods: We interviewed six adults with a history of stroke and financial barriers in Alberta, Canada, inquiring about their: (1) experiences after stroke; (2) experience of financial barriers; (3) perceived reasons for financial barriers; (4) health consequences of financial barriers; and (5) mechanisms for coping with financial barriers. Two reviewers analyzed data using inductive thematic analysis. Results: The participants developed new or worsened financial circumstances as a consequence of stroke-related disability. Poststroke impairments and financial barriers took a toll on their mental health. They struggled to access several aspects of long-term poststroke care, including allied health professional services, medications, and proper nutrition. They described opportunity costs and tradeoffs when accessing health services. In several cases, they were unaware of health resources available to them and were hesitant to disclose their struggles to their physicians and even their families. Conclusion: Some patients with financial barriers perceive challenges to accessing various aspects of poststroke care. They may have inadequate knowledge of resources available to them and may not disclose their concerns to their health care team. This suggests that providers themselves might consider asking stroke patients about financial barriers to optimize their long-term poststroke care.
机译：背景：社会经济地位较低的卒中患者具有更糟糕的结果。无论这是由于疾病严重程度还是个人或卫生系统障碍，它仍然很糟糕。我们探讨了在定性描述性试点研究中探讨了卒中患者的财务障碍的经验，寻求捕捉到干扰其失败健康和恢复的感知挑战。方法：我们采访了六名成年人，其中六名成年人在加拿大艾伯塔省的中风和金融壁垒，询问他们的：（1）中风后的经历; （2）财务障碍的经验; （3）财务障碍的理由; （4）财务障碍的健康后果; （5）应对财务障碍的机制。两位审阅者使用归纳专题分析分析数据。结果：参与者由于中风相关的残疾而发展新的或恶化的财务环境。失败的障碍和财政障碍对其心理健康产生了损失。他们努力访问长期外交护理的几个方面，包括联盟健康专业服务，药物和适当的营养。他们在访问卫生服务时描述了机会成本和权衡。在几个案件中，他们不知道他们可用的健康资源，并且犹豫不决，向他们的医生甚至是他们的家人披露他们的斗争。结论：一些金融障碍患者感知进入外交护理各个方面的挑战。他们可能对他们提供的资源不充分，并且可能无法向其医疗保健团队披露他们的担忧。这表明提供者本身可能会考虑询问卒中患者关于财务障碍，以优化他们的长期外交护理。

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