改善在临床试验中的多样性患者招生,重点关注西班牙裔和亚洲人群:跨学科专家小组的建议
Bhavana Pothuri1, Premal Thaker2, Adrienne Moore3
1NYU Langone Health Perlmutter Cancer Center, New York, New York, USA.
概括
改善临床试验多样性对于公平的医疗保健至关重要. 一个小组确定了偏见,文化障碍,以及导航者的重要作用,以提高患者在研究中的代表性.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 健康 公平 卫生 公平
背景情况:
- 临床试验中的患者多样性对于公平的医疗保健结果至关重要.
- 代表性不足导致不可泛化的知识和健康差异.
- 少数群体和弱势群体面临临临床试验参与的重大障碍.
研究的目的:
- 召集一个多学科的小组,以解决各种患者积累的挑战.
- 确定可行的解决方案,以改善临床试验中的代表性,重点关注亚洲和西班牙裔患者.
- 探索在临床试验招生中增强全球多样性的战略.
主要方法:
- 召集一个多学科小组,包括医生,护士,航海员,倡导者和行业代表.
- 专注于亚洲和西班牙裔患者群体的招聘障碍.
- 确定关注的领域,并提出可行的解决方案.
主要成果:
- 发现的关键问题包括医生/团队偏见,语言/文化细微差别以及家庭参与不足.
- 患者导航员,护士和高级实践提供者在招募代表性不足的人口中发挥的关键作用得到了强调.
- 研究赞助商和全球/区域倡议在解决历史差异方面的重要性得到了认可.
结论:
- 提出了可行的解决方案,使研究赞助商和网站能够在临床试验招生中实现更大的全球多样性.
- 解决偏见和文化因素是改善代表性的关键.
- 加强医疗保健专业人员的角色和战略举措对于公平的临床试验参与至关重要.
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