考虑国家痴呆症战略中的不平等:广度,深度和范围
Claire Godard-Sebillotte1,2, Sanjna Navani3, Georgia Hacker4
1The Research Institute of the McGill University Health Centre, Montreal, QC, Canada. claire.godard-sebillotte@mcgill.ca.
International journal for equity in health
|April 16, 2024
概括
大多数国家痴呆症战略都提到了健康不平等问题,但很少包括减少这些不平等问题的具体目标. 未来的战略必须包括可行的目标,以解决痴呆症护理方面的差异.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 健康 公平 卫生 公平
背景情况:
- 痴呆症是全球公共卫生重点,需要制定国家护理和支持战略.
- 健康的社会决定因素显著影响痴呆症风险,护理和结果.
- 目前的国家痴呆症战略可能无法充分解决健康不平等问题.
研究的目的:
- 确定国家痴呆症战略是否以及如何解决与健康社会决定因素相关的不平等问题.
- 分析包括具体的,可操作的目标,以减少痴呆症护理中的健康差异.
主要方法:
- 经济合作与发展组织 (OECD) 国家的国家痴呆症战略的环境扫描.
- 对战略文件进行主题分析,以确定不公平的考虑因素.
- 纳入标准集中在英语或法语可访问的战略上,不包括次国家计划.
主要成果:
- 在15个策略中,有13个策略至少提到了一个不平等现象 (例如年龄,残疾,种族/种族,社会阶级).
- 年龄和残疾是最常提到的不平等现象;宗教是最不常见的.
- 虽然11个战略具有一般的不平等目标,但只有5个包括具体的,可衡量的目标.
结论:
- 大多数国家痴呆症战略都承认健康不平等,但往往缺乏具体的减少目标.
- 可操作的目标和可衡量的目标对于有效解决痴呆症护理中的不平等至关重要.
- 未来的痴呆症战略应优先考虑有形目标,以减轻社会决定因素对痴呆症患者的影响.
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