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大数据和口腔健康差异:批判性评估
T Tiwari1, J S Patel2, G G Nascimento3,4
1School of Dental Medicine, University of Colorado, Aurora, CO, USA.
Journal of dental research
|December 4, 2024
概括
大数据分析揭示了与种族,社会经济地位和地理位置相关的口腔健康差异. 数据质量和因果分析存在差距,突出了口腔健康公平的未来研究领域.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 牙科研究 牙科研究
背景情况:
- 大数据,包括电子健康记录 (EHR) 和索赔数据,对于了解健康不平等变得越来越重要.
- 在各种人口和社会经济群体中,口腔健康差异仍然存在.
- 现有的研究往往缺乏对口腔健康的大数据研究中的数据质量和因果关系的全面分析.
研究的目的:
- 批判性地审查有关大数据分析和口腔健康差异的证据.
- 确定知识差距,并讨论解决口腔健康不平等问题的未来影响.
- 用数据质量框架评估研究,重点关注内在和上下文维度.
主要方法:
- 对2014-2023年关于大数据,社会决定因素和口腔健康差异的公布报告进行系统审查.
- 在MEDLINE,谷歌学者和科学网络中进行的搜索.
- 包括23项回顾性研究,使用内在和上下文数据质量维度进行批判性评估.
主要成果:
- 大数据分析确定了口腔健康结果和牙科护理利用的差异,这些差异基于种族,种族,社会经济地位,地理位置和保险.
- 没有报告关于内在数据质量维度的研究,如缺失或一致性.
- 研究提供了强有力的上下文数据,其中一些提供了对种族口腔健康不平等的新见解.
结论:
- 大数据有效地突出口腔健康差异,但通常依赖于基于关联的分析,限制因果理解.
- 观察到研究设计和因果分析中的差距,特别是在应用人工智能方面.
- 未来的研究应该集中在改善数据质量报告和采用先进的分析方法,以确定口腔健康差异的因果关系.
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