北欧国家心血管疾病和治疗的差异
Signe Højstrup1, Jakob Hartvig Thomsen1, Eva Prescott1
1Department of Cardiology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark.
The Lancet regional health. Europe
|November 13, 2023
概括
尽管有全民医疗,但北欧国家面临着持续的心血管保健差异. 解决贫困和歧视等社会决定因素对于公平的心血管结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 心血管医学 心血管医学
- 健康 公平 卫生 公平
背景情况:
- 北欧国家显示,心血管疾病死亡率正在下降,但在护理准入和结果方面存在持续的差异.
- 这些国家的特点是平等主义和普遍的,公共资助的医疗保健系统.
- 现有的差异突显了挑战,尽管心血管健康似乎是理想的条件.
研究的目的:
- 总结目前关于欧洲心血管疾病差异的知识,重点是北欧国家.
- 确定北欧地区心血管保健的主要挑战和改进领域.
- 为减少心血管结果健康不平等的战略提供信息.
主要方法:
- 分析来自北欧国家的高质量的全国性注册表的证据.
- 专注于主要的心血管健康决定因素和社会因素.
- 专家审查和综合现有关于健康差异的研究.
主要成果:
- 北欧国家在获得心血管保健和健康结果方面存在显著差异.
- 贫困和歧视等结构性因素有助于这些不平等.
- 贫困社区在获得医疗保健方面面临挑战,影响心血管健康.
结论:
- 虽然北欧国家在平等主义和普遍医疗保健方面表现出色,但公平的心血管保健仍然是一个挑战.
- 解决健康和结构原因的社会决定因素对于缓解差异至关重要.
- 需要进一步的努力,以确保社会各阶层的公平心血管结果.
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