关于老年急诊医学研究透明度在多样性,公平性和包容性报告中的范围审查
Anita N Chary1,2,3, Michelle Suh4, Edgardo Ordoñez1,2
1Department of Emergency Medicine, Baylor College of Medicine, Houston, Texas, USA.
Journal of the American Geriatrics Society
|July 12, 2024
概括
老年急诊医学研究往往未能报告种族和种族,限制了健康公平评估. 对于老年人,特别是那些有认知或语言障碍的人,需要标准化报告和包容性策略.
科学领域:
- 老年急救医学的医学
- 健康 公平 研究 健康 公平 研究
- 社会人口统计报告 社会人口统计报告
背景情况:
- 年龄歧视和种族主义的交集在老年急诊医学 (GEM) 中没有得到充分的研究.
- 现有的GEM研究缺乏关于老年人的社会身份的全面报告.
- 对老龄人口的紧急护理的健康公平仍然是一个关键的研究缺口.
研究的目的:
- 在GEM研究中对社会身份的报告进行定性描述.
- 评估将少数群体中的老年人纳入GEM研究的情况.
- 确定改善GEM研究包容性和健康公平性的策略.
主要方法:
- 进行了对2016-2021年美国急诊室原始研究的范围审查.
- 研究的重点是跌倒,妄想症/痴呆症,药物安全性和虐待老年人.
- 包括标准包括原始数据,老年人,美国受试者和全文可用性.
主要成果:
- 在222项纳入的GEM研究中,种族和种族报告不一致.
- 研究往往缺乏年龄门的合理性,并且报告的性别比性别更多.
- 认知障碍和非英语主要语言的老年人经常被排除在外.
结论:
- 不一致的社会人口统计报告,特别是种族和种族,阻碍了对GEM研究包容性的评估.
- 在研究设计中,对社会人口统计特征的标准化报告至关重要.
- 必须制定战略,以加强多元化的老年人,包括那些有认知和语言障碍的老年人.
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