[REIN:强调健康不平等的工具]
Valérie Chatelet1, Sahar Bayat2, Bénédicte Driollet3
1Département de néphrologie, CHU de Caen, France
概括
健康方面的社会不平等影响慢性病患者,影响透析和移植的机会. 这些差异在成人和儿科人口中都有所见,女性面临着移植的额外障碍.
科学领域:
- 公共卫生 公共卫生
- 腎臟病學 (nephrology) 是一種醫學專業.
- 流行病学 流行病学
背景情况:
- 法国脏流行病学和信息网络 (REIN) 在法国国家末期脏病 (ESKD) 登记处记录了健康方面的社会不平等.
- 了解SIH对于在慢性病 (CKD) 管理中提供公平的医疗保健至关重要.
研究的目的:
- 总结法国国家ESKD登记册在健康方面的社会不平等方面的贡献.
- 确定SIH在慢性病患者旅程中表现出来的关键领域.
主要方法:
- 分析法国国家ESKD注册表 (REIN) 数据,以纪念其成立20周年.
- 专注于识别不同患者人口统计和治疗方式的健康方面的社会不平等模式.
主要成果:
- 在整个CKD患者旅程中,健康方面的社会不平等存在,包括获得家庭透析和移植.
- 在获得透析和移植 (预防性或其他) 方面,领土上的差异很明显.
- SIH影响成人和儿科CKD群体;女性性别与移植获得的差异有关.
结论:
- 在法国CKD人口中,健康方面的重大社会不平等仍然存在,影响了治疗机会和治疗结果.
- 需要有针对性的干预措施来解决透析和移植中的领土和性别差异.
- 通过REIN等国家登记处进行持续监测对于跟踪和缓解病中的SIH至关重要.
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