在制定COVID-19正式建议和良好实践陈述时,很少涉及公平问题:一项跨部门研究
Omar Dewidar1, Mostafa Bondok2, Leenah Abdelrazeq3
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Bruyère Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
在COVID-19的推中,很少考虑对弱势群体的健康公平. 需要更多的指导来制定在紧急情况下公平的健康指导方针.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 传染病政策 传染病政策
背景情况:
- 随着COVID-19的流行,人们在健康状况方面出现了差异.
- 制定了可行的建议,以指导公共卫生反应.
- 评估将弱势群体纳入这些建议是至关重要的.
研究的目的:
- 确定针对特定弱势群体的COVID-19建议.
- 评估在制定这些建议时如何考虑健康公平.
主要方法:
- 使用居住地,种族或民族或文化,职业,性别或性别,宗教,教育,社会经济地位和社会资本-Plus (PROGRESS) 框架.
- 在使用推,评估,发展和评估 (GRADE) 标准的评级框架中评估了证据对决 (EtD) 的健康公平性.
主要成果:
- 16%的正式建议和24%的良好实践陈述专注于弱势群体.
- 儿童是最常见的目标群体 (40%的正式建议).
- 医疗公平方面的考虑是有限的,超过一半的ETD解决了不利群体证据的间接性.
结论:
- 在针对弱势群体的COVID-19建议中,明确考虑公平问题是罕见的.
- 需要改进指导,在卫生紧急情况期间将健康公平纳入指导方针制定中.
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