旨在减少癌症连续性不平等的干预措施的特点:范围审查
Wende C Safari1, Katja Gravenhorst1, Clemence Leyrat1,2
1Inequalities in Cancer Outcomes Network, Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, UK.
International journal of cancer
|May 26, 2025
概括
由于系统性问题,癌症护理不平等仍然存在,而不仅仅是个体因素. 大多数干预措施都集中在查获取和个体行为改变上,忽视了减少差异所需的更广泛的卫生系统改革.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 控制癌症 控制癌症
- 健康 公平 卫生 公平
背景情况:
- 癌症不平等在国家内部和国家之间是显著和持久的.
- 这些差异体现在整个癌症途径上,从诊断到后续护理.
- 解决这些不平等问题对于公平的医疗保健服务至关重要.
研究的目的:
- 描述旨在减少癌症不平等的干预措施.
- 分析医学文献中发表的受控试验中评估的干预措施.
- 发现当前应对癌症差异的方法中的差距.
主要方法:
- 在Ovid Medline和Embase数据库中进行系统搜索 (2005年1月至2024年4月).
- 包括对照实验,报告解决癌症不平等问题的干预措施.
- 提取有关干预特征,设置,样本和结果的数据.
主要成果:
- 在56篇文章中确定了57项干预措施.
- 大多数干预措施的重点是针对特定癌症 (结肠直肠癌,乳腺癌,宫癌) 和种族不平等 (64.9%),主要在美国 (84.2%).
- 大多数干预措施针对的是个人知识和行为,很少有针对系统性卫生系统问题.
结论:
- 目前针对癌症不平等的干预措施缺乏多样性,主要关注个人层面的因素.
- 迫切需要采取干预措施,解决癌症差异的卫生系统级决定因素.
- 转向系统级干预是必要的,以实现癌症不平等的有意义的减少.
相关概念视频
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.5K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.5K
Cancer Prevention
6.3K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.3K
Cancer Survival Analysis
458
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
458
Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
185
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
185
Levels of Health Promotion and Illness Prevention
13.4K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
13.4K


