肺癌护理中的公平与机会 - - 解决差距,挑战和前进的途径
Dena G Shehata1, Jennifer Megan Pan2, Zhuxuan Pan3
1Division of Thoracic and Cardiovascular Surgery, Lahey Hospital and Medical Center, Burlington, MA 01805, USA.
种族和民族少数群体面临着严重的肺癌护理差异,包括较低的查率和治疗机会. 解决这些不平等问题需要多层次的战略,以改善这些人群的结果.
科学领域:
- 在瘤学瘤学.
- 健康差距 研究 研究 研究 研究
- 公共卫生 公共卫生
背景情况:
- 肺癌是美国癌症死亡的主要原因,不成比例地影响种族和少数民族.
- 查,诊断,治疗和生存的差异源于社会经济因素,结构性种族主义和获得护理的不平等.
研究的目的:
- 检查肺癌护理中种族和民族差异的根本原因.
- 探索改善肺癌护理公平的策略.
主要方法:
- 关于肺癌护理中的种族和民族差异研究的文献综述.
- 探索查,基因组测试,治疗和生存方面的差异.
- 审查干预策略,如基于风险的查和政策改革.
主要成果:
- 少数民族患者的诊断年龄较小,包装年数较少,但不太可能满足查标准.
- 观察到符合指导方针的治疗率较低,获得专业护理的机会减少.
- 社会经济障碍,医疗不信任和地理差异加剧了不平等;有针对性的干预措施显示出希望.
结论:
- 多层次的方法对于公平的肺癌护理至关重要.
- 关键策略包括医疗保健政策变化,修订查标准和加强社区参与.
- 这些努力对于改善种族少数群体的结果至关重要.
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