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Self‐Reported Barriers to Healthcare Access for Rheumatoid Arthritis Patients in Rural and Northern Saskatchewan: A Mixed Methods Study

机译:农村和北部北部风湿关节炎患者的自我报告的障碍:混合方法研究

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Abstract <section xml:id="msc1146-sec-0001" numbered="no"> <title type="main">Objectives >The aim of the present study was to identify potential barriers for access to medical and allied health services from the perspective of rural and Northern Saskatchewan rheumatoid arthritis (RA) patients. </section> <section xml:id="msc1146-sec-0002" numbered="no"> <title type="main">Methods >A total of 100 adults with established RA, residing in rural and Northern Saskatchewan, were recruited from two rheumatology practices. Structured interviews with standardized scripts solicited patient perspectives on appointment waiting times, travel required to access medical services and satisfaction with healthcare provision. Thematic analysis was employed for qualitative data. </section> <section xml:id="msc1146-sec-0003" numbered="no"> <title type="main">Results > Patients‐reported concerns regarding waiting time for their first rheumatology appointment. There was reduced access to allied health professionals, with only 53% of the participants having seen a physiotherapist (PT), and only 26% an occupational therapist (OT). Patients had similar driving distances to their family physician, PT, pharmacy and laboratory services but commuted significantly further for rheumatologist and OT services. There were high levels of satisfaction with their rheumatologist and family physician appointments (8.96 and 8.04 on a ten‐point scale). Patients with longer travel times had higher satisfaction with their health care appointments: Patients who travelled one, two and more than two hours had satisfaction scores of 0.93, 0.88 and 1.32 points higher on a ten‐point scale ( p ??0.03). </section> <section xml:id="msc1146-sec-0004" numbered="no"> <title type="main">Conclusions >Access to medical services is a concern for this population. Patients were dissatisfied with the waiting time for their first specialist appointment and with decreased access to allied health professionals. Patients travelling longer distances were more satisfied with their health care provider's care, suggesting that good patient‐care giver relationships helped to ameliorate the difficulties of travelling to their appointments. Copyright ? 2016 John Wiley & Sons, Ltd. </section> </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译:</span><Abstract XMLNS =“http://www.wiley.com/namespaces/wiley”type =“main”> <title type =“main”>抽象</ title> <section XML:ID =“MSC1146-SEC-0001 “编号=”否“> <标题类型=”main“>目标</标题> >从农村和北萨斯喀彻温省的角度识别访问医疗和盟国卫生服务的潜在障碍类风湿性关节炎(RA)患者。</ p> </ section> <secto xml:id =“msc1146-sec-0002”编号=“否”> <标题类型=“main”>方法</ title> >从两种风湿病学实践中招募了总共100名具有成立RA的成立RA,居住在农村和北部萨斯喀彻温省。结构性访谈与标准化脚本招揽患者的观点在预约等候时间,以获得医疗服务和医疗保健的满意度所需的旅行。主题分析用于定性数据。</ p> </ section> <secto xml:id =“msc1146-sec-0003”编号=“否”> <标题类型=“main”>结果</ title> >患者报告了关于他们第一个风湿病学约定的等待时间的担忧。获得盟军卫生专业人士的访问权限,只有53%的参与者看到了物理治疗师(PT),只有26%的职业治疗师(OT)。患者对其家庭医生,PT,药房和实验室服务有类似的驾驶距离,而是对风湿病学家和OT服务的显着提交。他们的风湿病学家和家庭医生约会(8.96和8.04在十分级)的满意度高。旅行时间较长的患者对其医疗保健约会的满意度较高:患者,两个和两小时以上的患者在十点刻度上具有0.93,0.88和1.32点的满意度( P </ i) >?&?0.03)。 </ p> </ section> <section xml:id =“msc1146-sec-0004”编号=“否”> <标题类型=“main”>结论</ title> >对医疗服务的访问是一个问题对于这个人口。患者对第一个专家预约的等待时间不满意,并可减少盟军卫生专业人员获得。旅行较长距离的患者对他们的医疗保健提供者的护理更满意,这表明良好的患者护理助手关系有助于改善旅行到其约会的困难。版权? 2016年John Wiley&amp; SONS,LTD。</ p> </ section> </ abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-25334/'>《Musculoskeletal care.》</a> <b style="margin: 0 2px;">|</b><span>2016年第4期</span><b style="margin: 0 2px;">|</b><span>共9页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Nair B. V.&option=202" target="_blank" rel="nofollow">Nair B. V.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Schuler R.&option=202" target="_blank" rel="nofollow">Schuler R.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Stewart S.&option=202" target="_blank" rel="nofollow">Stewart S.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Taylor‐Gjevre R. M.&option=202" target="_blank" rel="nofollow">Taylor‐Gjevre R. M.;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Division of Rheumatology Department of MedicineUniversity of SaskatchewanSaskatoon SK Canada;</p> <p>College of MedicineUniversity of SaskatchewanSaskatoon SK Canada;</p> <p>Clinical Research CentreDalhousie UniversityHalifax NS Canada;</p> <p>Division of Rheumatology Department of MedicineUniversity of SaskatchewanSaskatoon SK Canada;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/195.html" title="内科学">内科学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Healthcare access&option=203" rel="nofollow">Healthcare access;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=rheumatoid arthritis&option=203" rel="nofollow">rheumatoid arthritis;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=rural and remote&option=203" rel="nofollow">rural and remote;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=rheumatology&option=203" rel="nofollow">rheumatology;</a> </p> <div class="translation"> 机译:医疗保健;类风湿性关节炎;农村和偏远;风湿病; </div> </li> </ul> </div> </div> <div class="literature cardcommon" id="literaturereference" style="display:none"> <div class="similarity "> <h3 class="all_title" id="enpatent111">引文网络</h3> <div class="referencetab clearfix"> <ul id="referencedaohang"> <li dataid="referenceul">参考文献</li> <li dataid="citationul">引证文献</li> <li dataid="commonreferenceul">共引文献</li> <li dataid="commoncitationul">同被引文献</li> <li dataid="tworeferenceul">二级参考文献</li> <li dataid="twocitationul">二级引证文献</li> </ul> </div> <div class="reference_details" id="referenceList"> <ul id="referenceul"></ul> <ul id="citationul"></ul> <ul id="commonreferenceul"></ul> <ul id="commoncitationul"></ul> <ul id="tworeferenceul"></ul> <ul id="twocitationul"></ul> </div> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> <li >中文文献</li> <li >专利</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704023760886.html">Self‐Reported Barriers to Healthcare Access for Rheumatoid Arthritis Patients in Rural and Northern Saskatchewan: A Mixed Methods Study</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Nair B. 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</span> </div> </li> <li> <div> <b>4. </b><a class="enjiyixqcontent" href="/academic-journal-cn_the-medical-forum_thesis/0201278562159.html">综合护理干预对类风湿性关节炎患者心理障碍及疼痛的影响观察</a> <b>[J]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=胡浔&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 胡浔</a> <span> <a href="/journal-cn-5758/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 基层医学论坛 </a> </span> <span> . 2020</span><span>,第009期</span> </span> </div> </li> <li> <div> <b>5. </b><a class="enjiyixqcontent" href="/academic-journal-cn_today-nurse_thesis/0201279838356.html">1例类风湿性关节炎重度口腔黏膜糜烂患者伴再生障碍性贫血的护理</a> <b>[J]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=丛洁洁&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 丛洁洁</a> <span> <a href="/journal-cn-5814/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 当代护士(综合版) </a> </span> <span> . 2020</span><span>,第011期</span> </span> </div> </li> <li> <div> <b>6. </b><a class="enjiyixqcontent" href="/academic-conference-cn_meeting-11339_thesis/02022347469.html">类风湿性关节炎患者的心理障碍与康复</a> <b>[C]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=夏洋&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 夏洋</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=李霞&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,李霞</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=崔学君&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,崔学君</a> <span> <a href="/conference-cn-11339/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 中国康复医学会第22届疗养康复学术会议 </a> <span> <span> . 2011</span> </span> </div> </li> <li> <div> <b>7. </b><a class="enjiyixqcontent" href="/academic-degree-domestic_mphd_thesis/020315317967.html">肥胖和运动障碍综合征对类风湿关节炎患者脊柱骨质疏松性骨折的影响</a> <b>[A] </b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=岳璟&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 岳璟</a> <span> . 2019</span> </span> </div> </li> </ul> <ul style="display: none;"> <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/patent-detail/06120101211286.html">一种预测类风湿关节炎患者1年后身体功能障碍的临床病情评估新体系</a> <b>[P]</b> . <span> 中国专利: CN110136834A </span> <span> . 2019-08-16</span> </div> </li> <li> <div> <b>2. </b><a class="enjiyixqcontent" href="/patent-detail/06120113849351.html">一种类风湿关节炎病患者的疼痛评估装置及方法</a> <b>[P]</b> . <span> 中国专利: CN113907713A </span> <span> . 2022-01-11</span> </div> </li> <li> <div> <b>3. </b><a class="enjiyixqcontent" href="/patent-detail/06130451839580.html">VACCINE FOR PROPHYLAXIS AND TREATMENT OF T-CELLS MEDIATED PATHOLOGY OR NONREGULATED REPLICATION BY T-CELL CLONES, METHOD OF ISOLATION OF VACCINE, METHOD OF DIAGNOSIS OR PROGNOSIS OF SUSCEPTIBILITY TO RHEUMATOID ARTHRITIS OF CEREBROSPINAL SCLEROSIS, METHOD OF PROPHYLAXIS OR TREATMENT OF PATIENTS WITH RHEUMATOID ARTHRITIS OR CEREBROSPINAL SCLEROSIS AND PEPTIDE CONTAINING SEQUENCE SGDQGGNE AS AGENT FOR DETECTION, PROPHYLAXIS AND TREATMENT OF PATIENTS WITH CEREBROSPINAL SCLEROSIS</a> <b>[P]</b> . <span> 外国专利: <!-- 俄罗斯专利: --> RU2138512C1 </span> <span> . 1999-09-27</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译:用于T细胞克隆的病理学治疗和T细胞介导的病理学或非调节性复制的疫苗,疫苗的分离方法,对鼻窦炎或脊髓炎性关节炎的类风湿性关节炎的类风湿性关节炎的诊断或预后诊断方法,或含有序列SGDQGGNE的脑脊柱硬化和肽序列作为检测,预防和治疗脑脊柱硬化的患者的代理 </span> </p> </li> <li> <div> <b>4. </b><a class="enjiyixqcontent" href="/patent-detail/06130420373363.html">method for evaluating arthritis-associated b-cell activation; method of assessing a patient for an indication of an autoimmune response; b-cell treatment method; Method of treating rheumatoid arthritis in a patient; method of evaluating a treatment for b cells; purified or monoclonal antibody; and method of searching for an activated cell.</a> <b>[P]</b> . <span> 外国专利: <!-- --> BRPI0716084A2 </span> <span> . 2013-10-01</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译:评价关节炎相关的b细胞活化的方法;评估患者自身免疫反应迹象的方法; b细胞治疗方法;治疗患者类风湿关节炎的方法;评估b细胞治疗的方法;纯化或单克隆抗体;和搜索激活的单元格的方法。 </span> </p> </li> <li> <div> <b>5. </b><a class="enjiyixqcontent" href="/patent-detail/06130403941912.html">synthetic peptide, methods for detecting an anti-citrullinated protein antibody in a biological sample, for performing an assay to aid in the diagnosis or prognosis of rheumatoid arthritis, to improve the sensitivity of diagnosing or predicting rheumatoid arthritis, an assay to diagnose or predict rheumatoid arthritis , kit, and method for identifying a peptide that is immunologically reactive with an anti-citrullinated protein antibody</a> <b>[P]</b> . <span> 外国专利: <!-- --> BRPI1013179A2 </span> <span> . 2019-09-24</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译:合成肽,用于检测生物样品中抗瓜氨酸化蛋白抗体的方法,用于执行有助于类风湿关节炎的诊断或预后的测定方法,以提高诊断或预测类风湿关节炎的敏感性,用于诊断或预测类风湿病的测定方法关节炎,试剂盒和方法,用于鉴定可与抗瓜氨酸化蛋白抗体发生免疫反应的肽 </span> </p> </li> </ul> </div> </div> </div> <div class="theme cardcommon" style="overflow: auto;display:none"> <h3 class="all_title" id="enpatent55">相关主题</h3> <ul id="subject"> </ul> </div> </div> </div> </div> <div class="right rightcon"> <div class="details_img cardcommon clearfix" style="margin-bottom: 10px;display:none;" > </div> </div> </div> <div id="thesis_get_original1" class="downloadBth" style="bottom: 19px;z-index: 999;" onclick="ywcd('0704023760886','4',7,2,1,'',this,24)" class="delivery" prompt="010401" title="通过人工服务将文献原文发送至邮箱" >获取原文</div> <div class="journalsub-pop-up" style="display: none"> <div 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