ABSTRACT

Social workers involved in interdisciplinary orthopedic trauma care can benefit from the knowledge of providers’ perspectives on healthcare disparities in this field. Using qualitative data from focus groups conducted on 79 orthopedic care providers at three Level 1 trauma centers, we assessed their perspectives on orthopedic trauma healthcare disparities and discussed potential solutions. Focus groups originally aimed to detect barriers and facilitators of the implementation of a trial of a live video mind-body intervention to aid in recovery in orthopedic trauma care settings (Toolkit for Optimal Recovery-TOR). We used the Socio-Ecological Model to analyze an emerging code of “health disparities” during data analysis to determine at which levels of care these disparities occurred. We identified factors related to health disparities in orthopedic trauma care and outcomes at the Individual (Education- comprehension, health-literacy; Language Barriers; Psychological Health- emotional distress, alcohol/drug use, learned helplessness; Physical Health- obesity, smoking; and Access to Technology), Relationship (Social Support Network), Community (Transportation and Employment Security), and Societal level (Access- safe/clean housing, insurance, mental health resources; Culture). We discuss the implications of the findings and provide recommendations to address these issues, with a specific focus on their relevance to the field of social work in health care.

 抽象的

参与跨学科骨科创伤护理的社会工作者可以从提供者对该领域医疗保健差异的观点的了解中受益。利用焦点小组对三个 1 级创伤中心的 79 名骨科护理人员进行的定性数据，我们评估了他们对骨科创伤医疗保健差异的看法，并讨论了潜在的解决方案。焦点小组最初的目的是发现实施实时视频身心干预试验的障碍和促进因素，以帮助骨科创伤护理机构的康复（最佳恢复工具包-TOR）。我们使用社会生态模型来分析数据分析过程中出现的“健康差异”代码，以确定这些差异发生在哪个护理级别。我们确定了与骨科创伤护理和个人结果的健康差异相关的因素（教育-理解、健康素养；语言障碍；心理健康-情绪困扰、酗酒/吸毒、习得性无助；身体健康-肥胖、吸烟；以及获得技术）、关系（社会支持网络）、社区（交通和就业保障）和社会层面（获得安全/清洁的住房、保险、心理健康资源；文化）。我们讨论研究结果的影响并提供解决这些问题的建议，特别关注它们与医疗保健社会工作领域的相关性。