残疾人是否在癌症护理方面存在差异? 一个系统的审查
1M.Sc. Public Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
PloS one
|December 13, 2023
概括
与非残疾人相比,残疾人 (PwD) 面临更糟糕的癌症结果和质量较差的护理. 这一系统性审查强调了癌症治疗和存活率的显著差异,敦促改善护理计划,以获得公平的结果.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球有13亿人患有残疾.
- 新出现的证据表明,残疾人 (PwD) 癌症护理的潜在差异.
研究的目的:
- 系统地审查和比较癌症结果和残疾和无残疾成年人之间的护理质量.
主要方法:
- 对同行评审的定量研究 (2000-2022) 进行系统审查,比较残疾和无残疾成年人的癌症结局.
- 搜索了五个主要的数据库 (EMBASE,Medline,科克伦图书馆,科学网,CINAHL).
- 排除了仅针对癌症查的研究,以及非定量研究.
主要成果:
- 31项研究表明,PWD的癌症结果较差,包括生存率较低和死亡率较高.
- 患者接受的癌症护理质量较差,其特点是无法获得最先进的治疗方法,治疗延迟,生命终端护理不足.
- 证据表明,PWD的专业医疗保健使用率和止痛药的使用率较低.
结论:
- 在癌症治疗方面,PWD遇到显著的差异,接受的治疗不太符合指导方针,死亡率更高.
- 癌症护理计划迫切需要改进,包括人员培训和残疾包容性研究,以确保公平的护理.
- 解决物理,社会和文化障碍对于预防PWD中可避免的发病率和死亡率至关重要.
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