在临床试验中增加科学多样性和包容性的机会:公平和缺乏控制
Joseph-Kevin Igwe1,2,3, Tenzin Yeshi Wangdak Yuthok1, Erin Cruz1
1Department of Medicine Stanford University, School of Medicine Stanford CA.
Journal of the American Heart Association
|December 18, 2023
概括
临床试验的多样性对于公平的健康结果至关重要. 一项新的研究比较了社区,机构和数字战略,以改善临床研究中代表性不足的患者群体的招聘.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床试验 临床试验
- 健康 公平 卫生 公平
背景情况:
- 个人医疗保健支出显著增加,但临床试验参与者人口统计数据并不反映国家或全球患者人群.
- 临床试验缺乏多样性限制了研究结果的概括性,并延续了健康不平等.
- 关于改善临床试验多样性的以前的研究缺乏对干预有效性的比较数据.
研究的目的:
- 审查和比较现有的在临床试验中招募不同参与者的策略.
- 确定最有效的干预措施,以提高代表性不足的患者代表性.
- 为健康政策和临床试验多样性的伦理激励提供信息.
主要方法:
- 本综述概述了社区,机构和数字卫生系统的先前干预策略.
- 它考虑了健康政策和对临床试验多样性的伦理激励措施.
- 美国心脏协会的战略重点研究网络正在对招聘策略进行当代的对比.
主要成果:
- 之前的干预主要集中在社区,机构和数字健康方法上.
- 一个显著的局限性是缺乏评估这些策略的比较研究.
- 该网络旨在为明智的招聘策略提供证据.
结论:
- 需要强有力的证据来确定招募各种临床试验参与者的最有效策略.
- 对招聘干预措施的比较分析对于促进多样性至关重要.
- 改善代表性不足的患者代表性对于健康公平和研究有效性至关重要.
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