眼科护理获取和利用中的差异:叙述性审查
Joana E Andoh1, Agnes C Ezekwesili2, Kristen Nwanyanwu3
1Department of Ophthalmology, Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Annual review of vision science
|May 30, 2023
概括
本综述考察了影响美国眼科护理获取和使用的因素,突出了差异,并提出了改进建议. 它使用健康人2030框架来探索影响眼科健康服务的健康社会决定因素.
科学领域:
- 公共卫生 公共卫生
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在美国,对许多人来说,获得和使用眼科护理服务是不理想的.
- 眼睛护理的差异存在于各种人口和社会经济群体.
- 了解健康的社会决定因素对于解决这些差异至关重要.
研究的目的:
- 对影响美国眼科护理获取和使用因素的文献进行审查.
- 调查影响健康的社会决定因素与眼科护理服务的参与,包括查,诊断和治疗.
- 为消除差异和重新构想眼科护理提供提出建议.
主要方法:
- 对现有文献进行了叙事审查.
- "健康人2030"框架被用来指导调查.
- 综合了以患者为中心的定性研究,以了解差异.
主要成果:
- 健康的社会决定因素显著影响眼科护理的各个方面,从一般的访问到后续访问.
- 在查,诊断访问,治疗坚持以及采用远视等新技术方面存在着有记录的差异.
- 以患者为中心的研究揭示了眼睛护理利用的关键障碍和促进者.
结论:
- 眼科护理的获取和使用在美国仍然存在显著的差异,这是由健康的社会决定因素驱动的.
- 提供了建议,以解决这些差异,并促进公平的眼科护理.
- 重新构想眼科护理提供模式对于实现健康平等至关重要.
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