解决急性术后疼痛管理中的偏见问题
Monica W Harbell1, Jillian Maloney2, Meredith A Anderson3
1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 5777 E Mayo Boulevard, Phoenix, AZ, 85054, USA. harbell.monica@mayo.edu.
Current pain and headache reports
|July 5, 2023
概括
急性术后疼痛管理显示出基于患者人口统计学 (如性别,种族和年龄) 的差异. 解决这些不平等问题需要进一步的研究和实施战略,以减少供应商偏见.
科学领域:
- 医学研究 医学研究
- 健康差异 在健康上的差异
- 疼痛管理 疼痛管理
背景情况:
- 急性术后疼痛管理对于患者的康复至关重要.
- 现有的文献表明,基于患者的特征,疼痛管理中的潜在不平等.
- 这些差异可能会对患者的治疗结果和医疗保健成本产生负面影响.
研究的目的:
- 审查各种人口因素 (包括性别,种族,社会经济地位,年龄和语言) 中急性术后疼痛管理的差异.
- 探索旨在减轻疼痛管理中发现的偏见的策略.
- 突出进一步研究和干预开发的需要.
主要方法:
- 对手术后疼痛管理的最新研究进行系统性文献综述.
- 分析有关人口统计学对疼痛评估和治疗的影响的数据.
- 对解决偏见的建议干预措施的评估.
主要成果:
- 有证据表明,与患者的性别,种族和年龄相关的急性疼痛管理存在显著差异.
- 这些不平等与诸如长时间住院等不良结果有关.
- 诸如隐性偏见培训和文化敏感的疼痛量表等干预措施有希望,但需要更多的研究.
结论:
- 解决术后疼痛管理中的不平等问题对于改善患者健康结果至关重要.
- 持续的研究是必要的,以充分理解和消除这些差异.
- 提供者和机构对消除偏见的承诺对于公平的疼痛护理至关重要.
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