获得乳腺癌查:差异和决定因素-专家小组叙述审查
Soudabeh Fazeli1, Anand Narayan2, Victoria L Mango3
1Assistant Professor, UC San Diego Health, 9400 Campus Point Dr., La Jolla, CA 92037.
AJR. American journal of roentgenology
|November 27, 2024
概括
乳腺癌查差异仍然存在于服务不足的群体,包括种族少数群体和残疾人. 解决这些不平等问题需要政策变化和包容性实践,以实现公平的乳房造影准入.
科学领域:
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 乳腺癌查可以挽救生命,但公平获取仍然是一个挑战.
- 医疗服务不足的人群面临着巨大的障碍,无法获得乳房扫描服务.
- 现有的差异影响美国印第安人/阿拉斯加土著,黑人,西班牙裔,残疾人和LGBTQ+个人.
研究的目的:
- 分析乳腺癌查获取的持续不平等情况.
- 检查基于种族,种族,社会经济地位,残疾,保险和地理位置的差异.
- 审查立法努力和新兴技术,以缓解查差距.
主要方法:
- 利用国家少数民族健康研究所和健康差异研究框架.
- 对现有文献和政策进行了叙事审查.
- 专注于识别服务不足群体的障碍和潜在解决方案.
主要成果:
- 查指南各不相同,这使得脆弱人群的获取更加复杂.
- 像密度通知法这样的立法措施是不够的.
- 传统的风险模型和人工智能集成需要仔细评估,以避免加剧不平等.
结论:
- 政策和实践的变化对于解决残疾人和边缘化个人的需求至关重要.
- 包容性和有效的查系统对于减轻乳腺癌查差异至关重要.
- 提供了关于未来研究,政策和临床实践的建议,以促进公平的护理.
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