加拿大的社会经济地位和视力护理利用情况:系统性审查
Angelica Hanna1, Diana Lucia Martinez2, Matthew B Schlenker3
1Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie
|February 17, 2025
概括
加拿大较低社会经济地位 (SES) 的人在获得基本视力护理服务的机会减少. 这种差异影响着所有年龄段和各个省份,凸显出需要改善眼睛健康方面的健康公平.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 眼科医生 眼科 眼科
背景情况:
- 尽管有全民医疗保健,但加拿大的视力护理可获得性不平等.
- 社会经济地位 (SES) 是获得和使用医疗保健的关键决定因素.
- 视力护理方面的差异可能导致可预防的视力丧失和降低生活质量.
研究的目的:
- 检查加拿大的社会经济地位 (SES) 和视力护理利用之间的关联.
- 确定受SES差异影响的视力护理的特定领域.
- 为旨在改善平等获得眼科护理的政策和干预提供信息.
主要方法:
- 从研究开始到2024年1月发表的研究的系统审查.
- 在Medline,Embase,CINAHL和Cochrane数据库中进行的搜索.
- 包括报告加拿大患者使用SES和视力护理原始数据的研究.
- 使用纽卡斯尔-太华和AXIS工具评估偏差风险;遵循PRISMA指南.
主要成果:
- 23项研究符合纳入标准,涵盖1985年至2022年期间的所有加拿大省份.
- 在23项研究中,有17项报告说,较低的SES与视力护理利用率下降之间存在显著的关联.
- 这一趋势在光学护理,眼科护理,糖尿病视网膜病变查,所有年龄组和所有省份都观察到.
结论:
- 低社会经济地位始终与加拿大视力护理使用率的减少有关.
- 有针对性的干预措施是必要的,以提高低收入人群的视力护理可获得性.
- 解决这些差异对于在眼睛健康方面实现更大的健康公平至关重要.
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