临床实践指南是否包括性别和性别证据?
1Spanish Scientific Research Council, Institute for Advanced Social Studies, Cordova, Andalusia, ES, Spain.
Women's health (London, England)
|November 30, 2024
概括
临床实践指南 (CPG) 往往缺乏全面的性别和性别证据,由于研究偏见,男性术语占主导地位. 为了公平的医疗保健,需要更多地关注多样性.
科学领域:
- 医学研究 医学研究
- 健康 公平 卫生 公平
- 临床实践指南 临床实践指南
背景情况:
- 建议将性别和性别证据转化为临床实践指南 (CPG),但通常是有限的.
- 目前的CPG可能只关注女性健康,或者忽略了性别和性别方面的考虑.
- 人类多样性必须纳入CPG,以获得全面的健康和疾病数据.
研究的目的:
- 分析西班牙CPG中性别和性别证据的纳入和背景.
- 确定CPG中关于性别和性别的偏见和遗漏.
- 评估性别敏感方法对CPG发展的影响.
主要方法:
- 检查了21个西班牙在2018年至2022年间出版的CPG.
- 对59个与性别和性别相关的关键词进行了扫描.
- 分析了CPG中的关键词频率和上下文.
主要成果:
- 四分之三的CPG包含了相关的性别和性别关键词.
- 男性的关键词普遍存在,这表明了以人为中心的研究偏见,除了女性健康CPG外.
- 专注于技术程序的CPG经常遗漏了性别和性别细节.
- 性别敏感的CPG显示出更好的患者,干预,比较,结果 (PICO) 问题和患者多样性.
- 尽管有像性别语言这样的意图,但仍然存在重大遗漏和不准确的信息.
结论:
- 西班牙的CPG表现出一个以人为中心的偏见,性别和性别多样性的整合有限.
- 对性别敏感的方法可以改善CPG,但遗漏仍然令人担忧.
- 需要进一步努力,以确保所有人群在CPG中得到公平的代表性和准确的信息.
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