确定支持不同女性平等以人为中心的骨关节炎护理的策略:指南内容分析
Chidinma Abuwa1, Angelina Abbaticchio1, Madeline Theodorlis1
1Toronto General Hospital Research Institute, University Health Network, 200 Elizabeth Street, Toronto, M5G2C4, Canada.
BMC musculoskeletal disorders
|September 14, 2023
概括
骨关节炎 (OA) 临床指导方针缺乏公平,以人为中心的护理指导,特别是对弱势妇女. 未来的指导方针应纳入公平性和患者观点,以改善OA护理的获取和质量.
科学领域:
- 风湿病学和肌肉骨健康
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 骨关节炎 (OA) 不成比例地影响女性,但他们面临着早期诊断,管理和定制护理的障碍.
- 种族化女性在获得以人为中心的OA护理方面面临着特殊的劣势.
- 临床指南是优化OA护理的关键工具.
研究的目的:
- 检查骨关节炎 (OA) 临床指南的内容与公平和以人为中心的对弱势群体,包括妇女的关怀有关.
- 确定当前指导方针中关于针对不同患者群体量身定制的OA护理的漏洞.
主要方法:
- 系统搜索非营利组织自2000年以来出版的英语OA指南.
- 显而易见的内容分析,以提取有关指南特征的数据,以人为中心的护理 (PCC) 领域,交叉因素的OA患病率和公平获取策略的数据.
- 在整个研究过程中,包括患者的观点.
主要成果:
- 分析了36个OA指南 (2003-2021年);很少有开发小组包括患者 (39%).
- 大多数指导方针 (81%) 涉及一些PCC领域,但指导方针往往含糊不清,缺乏沟通和建立关系的细节.
- 很少有指导方针承认OA患病率差异或社会经济障碍 (8%),只有2个 (6%) 提供了公平获得的具体策略.
结论:
- 目前的OA指导方针不足以支持临床医生为多样化,弱势群体提供公平,以人为中心的护理.
- 准则的制定者应该整合全面的PCC和公平指导,以现有框架和多样化的患者投入为基础.
- 需要进一步的研究来制定多层次的策略,以改善公平,以人为中心的OA护理.
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