关心患有慢性肝病的弱势群体:安全网的视角
Mark C Wang1, Saroja Bangaru1,2, Kali Zhou1,2,3
1Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
Healthcare (Basel, Switzerland)
|October 28, 2023
概括
安全网医院为缺乏服务的人群提供慢性肝病的基本护理. 解决诊断和治疗方面的差异对于改善这些弱势群体的结果和降低死亡率至关重要.
科学领域:
- 肝病学和公共卫生
- 医疗保健差异 研究 研究 医疗保健差异
背景情况:
- 慢性肝病,包括肝硬化和肝癌,不成比例地影响贫困人口.
- 在安全网设置中的个人经常面临延迟诊断和晚期疾病呈现.
- 健康的社会决定因素显著影响肝病的进展和结果.
研究的目的:
- 审查在安全网医院 (SNHs) 中关于慢性肝病护理的文献.
- 检查关键肝病的管理在护理级联中的差异.
- 评估医疗补助扩展对SNH和肝病结局的影响.
主要方法:
- 现有文献的叙述性审查.
- 对脂肪性肝病,肝癌,病毒性肝炎和肝硬化等疾病的护理差异分析.
- 评估政策影响,特别是医疗补助扩张.
主要成果:
- 在SNHs慢性肝病的诊断和管理方面存在显著的差异.
- 医疗补助扩张显示出改善获得和结果的潜力,但仍然存在挑战.
- 确定了有效的提供者和系统级干预措施.
结论:
- 优化SNH慢性肝病脆弱人群的护理需要解决系统性缺口.
- 像医疗补助扩张这样的政策干预至关重要,但单独是不够的.
- 需要进一步的研究和有针对性的干预措施来减少与肝脏有关的死亡率.
相关概念视频
Specialized Care Centers and Settings-II
736
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
736
Esophageal Varices-II: Clinical Features and Management
73
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
73
Chronic Kidney Disease III: Interprofessional Care
21
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
21
Chronic Pancreatitis II: Collaborative Care
96
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
96
Nursing Ethical Principles II
993
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
993
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K


