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在健康和护理方面的不平等
Raymond Vanholder1,2, Lieven Annemans3, Marion Braks4,5
1European Kidney Health Alliance, Brussels, Belgium. Raymond.vanholder@ugent.be.
Nature reviews. Nephrology
|August 14, 2023
概括
脏疾病是健康不平等的例子,风险和结果与社会和结构差异有关. 解决这些问题需要投资和政治意愿,以确保公平获得脏护理.
科学领域:
- 公共卫生 公共卫生
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 健康不平等涉及到健康和医疗保健获得的不公平差异.
- 病,包括急性损伤和慢性病,突出显著的健康差异.
- 不平等影响病风险,进展和患者的治疗结果.
研究的目的:
- 为了检查健康不平等如何表现在脏疾病的连续性.
- 确定不足的投资和社会/结构因素在病结果中的作用.
- 要强调需要从科社区的倡导和解决方案.
主要方法:
- 这项研究是对病中的健康不平等现有文献的概念分析和审查.
- 它综合了关于健康和获得护理的社会决定因素的证据.
- 它讨论了财政困难和灾难性的医疗支出的影响.
主要成果:
- 病风险和结果与整个疾病临床过程中的不平等性密切相关.
- 对脏健康和护理的投资不足是不平等的主要驱动力.
- 社会和结构因素,如有限的初级保健和教育,加剧病的结果.
结论:
- 脏疾病是普遍的健康不平等的一个主要例子.
- 解决这些不公正需要强有力的领导和政治承诺.
- 科界必须积极倡导和实施消除健康不平等的解决方案.
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