痴呆症诊断和护理中的地理不平等:系统性审查
Clarissa Giebel1, Megan Rose Readman2, Abigail Godfrey3
1Department of Primary Care and Mental Health, University of Liverpool, UK; NIHR Applied Research Collaboration North West Coast, Liverpool, UK.
International psychogeriatrics
|February 22, 2025
概括
在获得痴呆症护理方面的地理不平等不成比例地影响农村居民. 改善农村卫生和社会护理服务对于及时诊断和公平的痴呆支持至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 地理位置对痴呆症患者获得健康和社会护理的机会产生重大影响.
- 目前关于痴呆症诊断和护理获取的地理不平等现有证据尚未全面综合.
- 本系统性审查解决了关于痴呆症护理空间差异的证据综合的需要.
研究的目的:
- 系统地审查和综合有关地理不平等的证据,以获得痴呆症诊断和护理服务.
- 根据位置确定服务可用性和适用性的差异.
- 探索不同地理环境中痴呆症患者所面临的挑战.
主要方法:
- 从2010年开始的研究在五个数据库 (2024年6月) 中进行系统的文献搜索.
- 包括英语或德语研究,严格选和数据提取多个审稿人.
- 来自32项研究的叙述综合数据,主要来自美国和英国.
主要成果:
- 痴呆症护理的地理不平等主要与各国不同地区的服务的可用性和适用性有关.
- 农村地区痴呆症患者经常在获得及时诊断和获得必要的健康和社会护理方面遇到困难.
- 没有任何研究专门针对地理不平等的痴呆症住院护理.
结论:
- 迫切需要加强和调整农村地区的卫生和社会护理服务,以满足痴呆症患者的需求.
- 进一步的研究对于调查患有较罕见形式痴呆症的个体所面临的不平等至关重要.
- 国家战略必须在医疗保健和社会护理系统改革中优先考虑农村,以改善服务的可访问性.
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