基于种族和种族的物理治疗结果的差异:一个范围审查
Rupal M Patel1, Rachel A Prusynski2, Bernadette Williams-York2
1School of Physical Therapy, Texas Woman's University, Houston, Texas, USA.
Physical therapy
|July 11, 2024
概括
在物理治疗结果中存在种族和民族差异,边缘化群体经常经历更糟糕的结果. 需要对不同种群和条件进行进一步的研究.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 物理疗法物理治疗
- 健康 公平 卫生 公平
背景情况:
- 在医疗保健结果中的种族和民族差异是一个重大问题.
- 了解物理治疗中的这些差异对于改善患者护理至关重要.
- 现有的文献缺乏对这些差异的证据的全面综合.
研究的目的:
- 进行范围审查,综合有关物理治疗师治疗结果的种族和种族差异的证据.
- 确定差异最为普遍的群体和条件.
- 突出目前关于这些差异的研究中的差距.
主要方法:
- 搜索了四个数据库 (2001-2021) 关于跨种族和种族群体体体育治疗结果的研究.
- 适应了Arksey和O'Malley框架进行范围审查.
- 提取了研究设计,诊断,设置,结果和人口群体的数据;与白人患者相比,计算了结果差异.
主要成果:
- 包括65项研究,主要是观察性,以非西班牙裔白人患者作为参考组.
- 黑人和西班牙裔/拉丁裔患者的结果是最常见的; 其他少数群体的数据是罕见的.
- 与白人患者相比,边缘化群体的结果通常更差,除了成功的社区出院.
结论:
- 在物理治疗结果方面存在显著的种族和民族差异,特别是在住院康复和神经疾病方面.
- 对非神经学诊断和其他患者群体的差异理解的差距仍然存在.
- 物理治疗师必须解决临床实践中健康不平等的社会和结构驱动因素.
关键词:
偏见 (流行病学) 偏见 (流行病学)决策 决策 决策 决策影响修饰剂 (流行病学)流行病学因素 流行病学因素患者护理 患者护理公共卫生 公共卫生康复 康复 康复 康复搜索策略 搜索策略社会的责任社会责任更多相关视频
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