健康的社会决定因素框架,以识别和减少边缘化社区成像障碍
Mohab M Elmohr1, Zulqarnain Javed1, Prachi Dubey1
1From the Department of Radiology, Baylor College of Medicine, Houston, 1 Baylor Plaza, BCM 360, Houston, TX 77030 (M.M.E., E.M.R.); Division of Health Equity and Disparities Research, Center for Outcomes Research, Houston Methodist Hospital, Houston, Tex (Z.J., K.N.); Houston Radiology Associates, Houston Methodist Hospital, Houston, Tex (P.D.); ACR Commission on Neuroradiology, American College of Radiology, Reston, Va (J.E.J.); Department of Radiology, Division of Neuroimaging and Neurointervention, Stanford University School of Medicine, Stanford, Calif (J.E.J.); Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, Utah (L.S.); Division of Cardiovascular Prevention and Wellness, Houston Methodist DeBakey Heart and Vascular Center, Houston, Tex (K.N.); Center for Cardiovascular Computational Health & Precision Medicine (C3-PH), Houston Methodist Hospital, Houston, Tex (K.N.); and Department of Neuroradiology, Division of Diagnostic Imaging, MD Anderson Cancer Center, Houston, Tex (C.M.L.).
健康的社会决定因素 (SDOH) 影响获得必要的医学成像,加剧了健康差异. 解决这些因素是实现所有患者健康平等的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 医疗成像医学成像
背景情况:
- 健康的社会决定因素 (SDOH) 包括影响健康结果的环境和社会条件.
- 获得高质量的医学成像对于诊断和管理中风和癌症等疾病至关重要.
- 现有的健康差异因进入诊断和查成像服务的障碍而加剧.
研究的目的:
- 应用一个结构框架来了解SDOH对需要医学成像的患者的影响.
- 突出SDOH如何不成比例地影响边缘化社区在获得中风和癌症护理成像方面.
- 确定减轻与SDOH相关的成像差异的策略.
主要方法:
- 利用之前描述的结构框架来分析SDOH对成像访问的影响.
- 将SDOH因素分为五个关键领域:经济稳定,教育,社区环境,社会背景和医疗保健准入.
- 研究中风和癌症作为成像差异的案例研究.
主要成果:
- 对于医疗护理的患者来说,SDOH 造成了重大障碍,特别是在诊断和查成像方面.
- 边缘化社区在完成必要的成像工作时面临不成比例的挑战.
- 五个SDOH部门显著影响患者体验和获得成像服务.
结论:
- 解决SDOH对于减少医疗成像获取的健康结果差异至关重要.
- 诸如护理协调员,运输,语言援助和财政援助等策略可以减轻差异.
- 国家和国际倡议正在积极努力解决SDOH问题,并促进医疗保健获得健康公平.
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