解决饮食障碍的未满足需求需要系统性变化和共同生产:阿里等的评论. (2024) 年,将在2024年
Agnes Ayton1, James Downs2, Ali Ibrahim3
1Oxford Health NHS Foundation Trust, Oxford, UK.
The International journal of eating disorders
|January 15, 2025
概括
由于系统性障碍,全球范围内的饮食障碍治疗的准入情况因系统性障碍而有很大差异,对不同人群的影响不均. 解决这些差异需要针对公平护理和改善结果的定制改革.
科学领域:
- 公共卫生 公共卫生
- 医疗保健系统研究 医疗保健系统研究
- 心理健康服务 心理健康服务
背景情况:
- 在医疗保健系统之间,饮食障碍治疗的准入存在重大差异.
- 障碍包括结构,文化和系统因素,导致全球治疗率的多样化.
- 不充分的初级保健认可和长时间的等待列表加剧了治疗差距.
研究的目的:
- 分析饮食障碍治疗差距的程度和原因.
- 确定影响获取基于证据的饮食障碍护理的系统性障碍.
- 提出减少饮食障碍治疗中的不平等问题的策略.
主要方法:
- 对有关饮食障碍治疗的现有文献进行系统审查.
- 分析导致不同人群和医疗保健系统治疗率差异的因素.
- 识别常见的系统和结构障碍.
主要成果:
- 饮食障碍的治疗率有很大的差异,从美国部分人口的2.3%到瑞士的65.7%.
- 障碍物不成比例地影响男性,少数民族,体重较高的个体,以及那些患有并发症的人.
- 分散的护理,缺乏跨学科合作,以及资金问题限制了医疗服务的获取.
结论:
- 系统性改革至关重要,包括改善培训,资金和综合护理模式.
- 公共预防计划和生活经验的纳入对于包容性干预至关重要.
- 针对特定医疗保健系统挑战的量身定制方法可以减少不平等,改善治疗准入和治疗结果.
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