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患有多发性硬化症的弱势群体的共同决策:系统性审查

Aliza Bitton Ben-Zacharia¹, Jen Smrtka², J Tamar Kalina²

¹Hunter Bellevue School of Nursing and Mount Sinai Hospital; Hunter Bellevue School of Nursing, 425 E 25th St, New York, NY 10010, USA; Mount Sinai, 146 East 126 Street, New York, NY 10035, USA.

Multiple sclerosis and related disorders

|August 9, 2024

概括

共享决策 (SDM) 有利于多发性硬化症 (MS) 患者,但服务不足的人群面临障碍. 解决健康的社会决定因素对于公平的SDM实施至关重要.

科学领域:

医疗保健服务研究医疗服务研究
以患者为中心的护理
健康差异在健康上的差异

背景情况:

共享决策 (SDM) 对于个性化患者护理和改善长期结果至关重要.
服务不足的人群可能会在SDM中减少参与,这可能会影响他们正在进行的医疗保健.
本综述研究了这些特定患者群体内的SDM.

研究的目的:

在服务不足的患者群体中系统地审查关于共享决策 (SDM) 的文献.
确定SDM对不同患者群体的挑战和好处.

主要方法:

在PubMed.com上进行了系统的文献搜索.
文章由两个独立的审稿人进行了选.
专题分析用于数据合成.

主要成果:

在418篇获取的文章中,包括89篇;33篇专注于多发性硬化症 (MS) 患者.
52%的MS患者 (包括服务不足患者) 偏爱SDM.
服务不足群体的较低健康素养和文化信仰影响信息同化;初级保健临床医生是关键信息提供者.

结论:

对于MS患者来说,SDM提供了显著的好处,它的缺失导致了不满和不信任.
在解决贫困人口中公平的SDM健康的社会决定因素方面仍然存在挑战.
需要进一步的研究来克服这些障碍.

关键词:

多发性硬化症是多发性硬化症.分享决策的共同决策服务不足的人口.

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