解决美国肝癌护理中的种族和民族差异
Nicole J Kim1, Anne Cravero2, Trang VoPham3,4
1Division of Gastroenterology, Department of Medicine, University of Washington, Seattle, Washington, USA.
Hepatology communications
|June 22, 2023
概括
肝细胞癌 (HCC) 的差异不成比例地影响少数群体. 应用NIMHD研究框架有助于组织驱动这些不平等的因素,并指导未来对HCC护理中的健康公平的研究.
科学领域:
- 在瘤学瘤学.
- 健康差距 研究 研究 研究 研究
- 公共卫生 公共卫生
背景情况:
- 肝细胞癌 (HCC) 是最常见的初级肝癌,也是美国癌症死亡增长最快的原因.
- 在HCC发病率,治疗和结果方面存在显著的种族和种族差异.
- 解决健康差异的现有框架是复杂的,需要适应像HCC这样的特定疾病.
研究的目的:
- 适应和应用国家少数群体健康和健康差异研究所 (NIMHD) 研究框架到HCC护理连续.
- 识别和组织导致HCC种族和民族差异的因素.
- 提出研究重点,以促进HCC护理中的健康公平.
主要方法:
- 使用了叙事审查方法.
- 根据NIMHD研究框架的领域 (生物,行为,环境,社会文化,医疗保健系统) 和影响层次 (个人,人际,社区,社会) 应用于HCC护理连续.
- 总结了关于HCC因种族和种族差异的文献.
主要成果:
- 在HCC的种族和种族差异受到生物,行为,环境,社会文化和医疗保健系统领域的多种因素的影响.
- 该NIMHD框架提供了一个结构化的方法来理解这些复杂的,多层次的影响.
- 关键的研究重点包括增加少数群体的代表性,收集子组数据,评估患者的体验,评估健康的社会决定因素.
结论:
- 将NIMHD研究框架应用于HCC护理是理解和解决健康差异的关键一步.
- 未来的研究必须优先考虑特定领域,以告知有针对性的干预措施,并促进健康公平.
- 解决这些优先事项将导致量身定制的计划,以满足受HCC影响的不同种族和民族群体的独特需求.
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