在一个种族多样化的英国队列中,对格拉瘤的健康结果的优先考虑:一项观察性研究
Atika Safitri1,2, Evgenia Konstantakopoulou1,2,3, Gus Gazzard1,2
1NIHR Moorfields Biomedical Research Centre, London, UK.
BMJ open
|May 21, 2024
概括
患者的种族显著影响着对眼治疗结果的优先考虑,少数群体往往不仅仅是视力之外的因素. 针对性,包容性的方法对于有效的患者护理和研究至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 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:
- 患者报告的结果测量在青光眼治疗中至关重要.
- 了解生活质量优先级的种族差异对于公平待遇至关重要.
研究的目的:
- 调查来自少数民族的患者是否对玻璃眼管理中的关键生活质量结果有不同的看法.
- 在不同患者群体中确定特定的健康结果优先级.
主要方法:
- 一项涉及511名患有初级开角青光眼或眼睛高血压的患者的横截面观察研究.
- 从2021年7月到2022年2月,招聘发生在种族多样化的英国眼科中心.
- 参与者自我报告了他们对健康结果的优先事项,分为视力,下降自由,眼内压力和一次性治疗.
主要成果:
- 确定了四个不同的健康结果优先级集群.
- 种族是集群成员的重要决定因素.
- 与白人患者相比,黑人/英国黑人患者的降落自由,眼内压力和一次性治疗优先于视力的几率明显更高.
结论:
- 在对绿眼病患者健康结果的感知重要性方面存在显著的种族差异.
- 选择和评估治疗方法需要个性化和种族包容性的策略.
- 未来的研究和临床实践应该考虑到这些不同的患者优先事项.
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