高收入国家缓解护理处方的种族不平等 - - 快速系统审查
Tafadzwa Patience Kunonga1,2, Eugenie Evelynne Johnson3, Usvah Din3
1National Institute for Health and Care Research (NIHR) Policy Research Unit in Older People and Frailty/Healthy Ageing, Population Health Sciences Institute, Newcastle University, Newcastle-Upon-Tyne, NE4 5PL, UK. patience.kunonga@newcastle.ac.uk.
高收入国家的少数民族在息治疗中接受的止痛药,包括阿片类药物,较少. 本次审查强调了症状管理处方方面的差异,表明了这些人群在公平的终身护理方面的潜在差距.
科学领域:
- 息护理研究 息护理研究
- 卫生公平研究 卫生公平研究
- 药理干预药理干预
背景情况:
- 有效的息治疗需要通过适当的处方进行最佳的症状管理.
- 种族不平等可能导致少数群体在待遇和结果方面的差异.
- 了解这些差异对于实现公平的终身护理至关重要.
研究的目的:
- 调查高收入国家成年人临床缓解护理处方方面的种族不平等.
- 识别在症状管理方面对少数民族患者的护理中的潜在差距.
主要方法:
- 在PROSPERO (CRD42023476977) 登记的快速系统审查.
- 在MEDLINE,Embase和CINAHL数据库中进行的搜索 (2000年1月 - 2023年11月).
- 独立选,数据提取和质量评估由两位审查员进行;由于异质性而进行叙事性审查.
主要成果:
- 10项研究 (全部来自美国) 符合纳入标准,5项高质量,5项合理质量.
- 鉴定出了缓和护理处方中的种族差异.
- 与非西班牙裔白人相比,少数民族人口接受止痛药,特别是阿片类药物的可能性较低.
结论:
- 在缓和护理症状管理处方中存在种族不平等,这表明少数民族的护理差距很大.
- 需要在国际上进行进一步的研究,以确定缓解护理处方差异是否超越美国.
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