高收入国家中高收入国家卫生服务利用的农村和城市差异:一个范围审查
Talis Liepins1, Garry Nixon2, Tim Stokes2
1Centre of Rural Health, Department of General Practice and Rural Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand. lieta476@student.otago.ac.nz.
International journal for equity in health
|September 18, 2024
概括
农村人口通常使用的卫生服务比城市人口少,特别是初级保健. 鉴于农村地区的卫生需求更高,这一趋势令人担忧,这突显了系统层面分析中的研究差距.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
- 健康 公平 卫生 公平
背景情况:
- 了解农村和城市人口在医疗保健获取和利用方面的差异对于公平的健康结果至关重要.
- 以前的研究已经探讨了医疗服务利用的差异,但需要对文献进行全面的概述.
研究的目的:
- 对文献进行范围审查,评估农村和城市人口在卫生服务利用方面的差异.
- 在中高收入国家绘制现有研究的范围和属性.
主要方法:
- 采用了系统范围审查方法,以参与者,概念和上下文框架为指导.
- 通过Embase,Medline,PubMed和Scopus数据库识别了2008年至2022年间出版的文学作品.
- 研究特征,重点领域和发现被提取和分析.
主要成果:
- 包括179项研究,随着时间的推移,出版物的数量显著增加.
- 研究在初级和二级医疗保健部门之间均划分.
- 大多数研究表明,农村人口对服务的使用率较低,特别是对初级保健的使用率较低,这往往与进入障碍有关.
结论:
- 审查强调了农村人口医疗服务利用率较低的持续模式,考虑到他们增加的健康需求,这令人担忧.
- 在系统层面的研究中存在很大的差距,这些研究既考虑了健康需求,也考虑了利用变化.
- 未来的研究应该优先考虑系统层面的分析,以解决农村和城市的健康差异.
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