在初级保健癌症转诊中跨种族的性别不平等:一个范围审查协议
Deepthi Lavu1, Adnan Khan2, Judit Konya2
1APEx (Exeter Collaboration for Academic Primary Care), Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK d.lavu@exeter.ac.uk.
BJGP open
|February 8, 2024
概括
本综述研究了初级保健癌症转诊途径,重点关注诊断中的性别和种族差异. 结果将突出不平等,为公平的癌症护理策略提供信息.
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:
- 早期癌症诊断显著影响患者的死亡率和发病率.
- 在基于性别和种族的癌症诊断时间和预后存在差异.
- 在关门医疗保健系统中,初级保健在启动疑似癌症转诊方面发挥着至关重要的作用.
研究的目的:
- 评估对初级保健癌症转诊途径及其与癌症结局的关联的证据.
- 调查这些关于不同种族群体性别的关系.
- 确定研究缺口,并为减少癌症诊断不平等的战略提供信息.
主要方法:
- 根据乔安娜·布里格斯研究所的方法进行了范围审查.
- 使用系统性审查的首选报告项目和范围审查的元分析扩展 (PRISMA-ScR).
- 在电子数据库和私人收藏中搜索2000年以后发表的研究,重点关注门卫医疗保健系统.
主要成果:
- 该审查综合了初级保健癌症转诊途径中性别和种族差异的数据.
- 识别了转诊和随后的癌症结局差异的特定模式.
- 突出了关于这些差异的研究缺乏的领域.
结论:
- 预计将揭示基于性别和种族的初级保健癌症转诊的显著差异.
- 对于制定有针对性的策略来缓解癌症诊断方面的不平等至关重要.
- 旨在在初级卫生保健机构内促进更公平的癌症护理途径.
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