血液性恶性瘤的差异:从患者到医疗保健专业人员
Xiaoyi Chen1, Mihir Shukla1, Shella Saint Fleur-Lominy2
1Department of Medicine, Division of Hematology and Medical Oncology, New York University, Grossman School of Medicine, NY, New York, USA.
尽管在治疗血液性恶性瘤方面取得了改进,但差异仍然存在. 来自少数群体背景,较低社会经济地位或农村地区的患者面临更糟糕的结果,这凸显了需要公平的医疗保健策略的需要.
科学领域:
- 血液学 血液学 血液学
- 健康差异 在健康上的差异
- 在瘤学瘤学.
背景情况:
- 血液性恶性瘤的结果有所改善.
- 然而,根据患者的人口统计和地理位置,预后会有很大差异.
- 不平等不成比例地影响到代表性不足的少数群体,没有保险的个人,社会经济地位较低的人群和农村人口.
研究的目的:
- 要突出血性恶性瘤的结果持续存在的差异.
- 要强调人口和地理因素对患者存活率的影响.
- 解决医疗保健获取和结果方面的不平等问题.
主要方法:
- 对血液恶性瘤结果的流行病学数据的审查.
- 对影响生存率的人口和社会经济因素的分析.
- 检查医疗保健专业代表和多样性.
主要成果:
- 血液性恶性瘤中改善的生存率分布不均.
- 代表性不足的少数民族,低社会经济地位和农村居民与更糟糕的结果有关.
- 在医疗保健专业劳动力中存在严重的性别和少数群体代表性差距.
结论:
- 综合性战略对于减轻医疗保健差异至关重要.
- 实现健康公平需要解决癌症护理中的系统性不平等问题.
- 改善医疗保健专业的多样性对于公平的患者结果至关重要.
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Published on: March 5, 2018
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