退伍军人医疗保健个性化:认识到少数群体和代表性不足的退伍军人在就医方面的障碍。

IF 1.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Gavin M Campbell, M P Perry, J Milford, D Murphy
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引用次数: 0

摘要

退伍军人在人口构成上并不是一个单一的群体,但少数群体在研究中的代表性仍然不足,并且报告说他们感觉不太能够获得临床服务以寻求支持。虽然针对退伍军人的医疗保健服务满足了大多数人的需求,但退伍军人心理健康服务的成功与否取决于能否为全体退伍军人提供服务。医疗保健个性化的关键在于获取问题,以及解决特定的不平等和求助行为障碍的必要性。在本文中,我们将从三个层面探讨退伍军人医疗保健的获取问题:所有退伍军人面临的共同障碍;所有少数退伍军人群体面临的共同障碍;以及与特定少数退伍军人群体相关的障碍。污名化、军人态度和文化(如委曲求全)以及获得服务和具有退伍军人特定知识的专业人员是所有退伍军人群体普遍面临的障碍。少数群体报告称,这些障碍加剧了他们在退伍军人护理环境中的 "异类 "地位,在服务描述和广告中缺乏对他们或他们经历的描述,在特定问题上缺乏专业的文化能力,以及退伍军人环境可能会造成再次创伤。最后,还讨论了个别群体的具体障碍。关注这些问题对于开发满足所有退伍军人需求的个性化医疗保健整体方法至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Personalising veteran healthcare: recognising barriers to access for minority and under-represented groups of veterans.

Veterans are not a demographically homogenous group, yet minority groups continue to be under-represented in research and report feeling less able to access clinical services to seek support. While veteran-specific healthcare has responded to the needs of the majority, the success of veteran mental health services is contingent on serving the whole veteran population. Key to the personalisation of healthcare is the question of access and a need to address specific inequalities and barriers to help-seeking behaviour. In this paper, we explore the issues of access to veteran healthcare at three levels: those barriers common to all veterans; those common to all minority groups of veterans; and those relevant to specific minority groups of veterans. Stigma, military attitudes and culture (eg, stoicism), and access to services and professionals with veteran-specific knowledge are universal barriers across veteran groups. Minority groups report a heightening of these barriers, alongside being 'othered' in veteran care settings, a lack of representation of them or their experiences in service descriptions and advertising, a lack of professional cultural competencies on specific issue, and the veteran environment potentially being retraumatising. Finally, barriers specific to individual groups are discussed. Attending to these is essential in developing holistic approaches to personalised healthcare that meets the needs of all veterans.

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来源期刊
Bmj Military Health
Bmj Military Health MEDICINE, GENERAL & INTERNAL-
CiteScore
3.10
自引率
20.00%
发文量
116
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