慢性肺炎医疗保健获取和结果的变化:快速审查
Julie A Shatto1, Michael K Stickland1,2,3, Leslie J J Soril2,4
1Division of Pulmonary Medicine, Department of Medicine, University of Alberta, Alberta, Canada.
Chronic obstructive pulmonary diseases (Miami, Fla.)
|January 19, 2024
概括
慢性阻塞性肺病 (COPD) 的健康差异很明显. 农村地区和较低社会经济地位的个人经历了更糟糕的护理和更糟糕的健康结果,表明需要有针对性的干预措施.
科学领域:
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 在慢性阻塞性肺病 (COPD) 护理中,健康不平等很普遍.
- 不平等与获得医疗保健的差异和健康结果的多样性有关.
- 了解这些变异对于识别COPD护理的差距至关重要.
研究的目的:
- 快速审查有关COPD患者获得医疗保健和治疗结果的文献.
- 确定与这些变化相关的社会人口统计因素.
- 综合发现,为目标干预和政策提供信息.
主要方法:
- 进行了对已出版和灰色文献的快速审查.
- 变化是由社会人口统计学类别 (年龄,种族,地理,种族,性别,社会经济地位) 的访问指标或结果的差异性模式定义的.
- 发现了新兴的主题,并通过叙事方式进行了合成.
主要成果:
- 包括35篇文章,主要是回顾性队列研究.
- 观察到对螺旋计,肺部康复和专家护理的准入有显著差异.
- 农村地区和社会经济地位较低的人群的访问和结果较差.
- 变化也与种族,种族,年龄和性别有关,尽管不那么一致.
结论:
- 对于患有COPD的人来说,医疗保健的获取和结果存在很大差异.
- 这些发现突出了开发有针对性的干预措施和政策以解决健康不平等的机会.
- 解决地理和社会经济差异对于改善COPD护理至关重要.
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