患者-提供者种族一致性和药物坚持:系统性审查
Ava J Fabian1, Roberto L Balado1, Michael G Chase1
1Sacred Heart University, College of Health Professions, 5151 Park Ave, Fairfield, CT, 06825, USA.
Journal of racial and ethnic health disparities
|February 27, 2025
概括
患者和医疗保健提供者之间的种族一致性与黑人,土著和有色人种 (BIPOC) 的更好的药物坚持有关. 增加提供者多样性可能会提高这一群体的坚持率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 患者的治疗结果.
背景情况:
- 与白人相比,黑人,土著和有色人种 (BIPOC) 的药物坚持率较低.
- 历史上的虐待和系统的压迫导致了BIPOC持续的医疗保健差异.
- 患者-提供者种族一致性是影响BIPOC群体药物坚持的潜在因素.
研究的目的:
- 系统地审查有关患者和医疗服务提供者的种族一致性对BIPOC患者药物坚持的影响的文献.
- 综合当前关于种族一致护理和坚持之间的关系的证据.
- 确定改善不同患者群体的药物服药能力的潜在策略.
主要方法:
- 在八个数据库中进行系统的文献搜索.
- 两个独立作者对412个结果进行了选.
- 五篇文章的定性综合,符合纳入标准.
主要成果:
- 四项研究表明,患者-提供者种族一致性与BIPOC患者对心血管和皮肤病药物的更高坚持有关.
- 一项研究指出,黑黑二合体的坚持率更高,尽管这在统计学上并不显著.
- 有证据表明,种族一致关系与改善药物坚持之间存在积极的相关性.
结论:
- 患者-提供者种族一致性显示,BIPOC患者的药物坚持增加与药物坚持增加有关.
- 虽然有希望,但这次审查并没有控制成本,获取或多药等混因素.
- 在医疗保健工作人员中增强多样性可以增加种族一致护理的机会,从而有可能提高坚持.
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