交叉性的因素和公平的终生经验:快速审查.
Briony F Hudson1,2, Fiona Taylor3, Rini Jones2
1Marie Curie Palliative Care Research Department, University College London, London, UK b.hudson@ucl.ac.uk.
BMJ supportive & palliative care
|January 14, 2025
概括
交叉性显著影响息和终身护理 (PEoLC) 的经验,包括预先护理规划 (ACP). 需要更多的研究来理解这些复杂的差异,并为公平的护理策略提供信息.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
- 老年学是一门学科.
背景情况:
- 缓解和终身护理 (PEoLC) 的不公平往往归因于单一的因素.
- 交叉性强调了如何组合变量可以加剧护理差异.
- 了解这些交叉因素对于公平的医疗保健服务至关重要.
研究的目的:
- 审查有关交叉性对PEoLC经验的影响的现有文献.
- 检查PEoLC内部在预先护理规划 (ACP) 中的交叉性的作用.
主要方法:
- 采用了快速审查方法.
- 在六个电子数据库中搜索了过去10年发表的同行评审文章.
- 专注于研究明确探讨PEoLC和ACP的交叉性,用于限制生命疾病的个人.
主要成果:
- 在3738篇确定论文中,只有7篇符合审查条件.
- 四项研究探讨了跨学科性对非洲和非洲国家和地区 (ACP) 准入和态度的影响.
- 两项研究涉及PEoLC的获取,一项研究关注护理质量.
结论:
- 交叉性对于个性化的息和终身护理至关重要.
- 在研究影响生命终结体验的因素的复杂相互作用方面存在重大差距.
- 需要进一步的以行动为导向的研究来为政策提供信息,并减少PEoLC中的不平等.
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