医疗众筹中的健康不平等:系统审查
Yingying Cai1, Syafila Kamarudin2, Xiaoyu Jiang1
1Department of Communication, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
International journal for equity in health
|June 10, 2025
概括
医疗众筹虽然可以获得,但往往会加深健康不平等. 成功因地点,种族和社会经济地位而异,反映和加强现有的差异,而不是纠正它们.
科学领域:
- 卫生经济学 卫生经济学
- 健康社会学健康的社会学.
- 数字健康数字健康
背景情况:
- 医疗众筹是医疗保健费用的一个常见策略,特别是在有限的保险中.
- 它通常被视为可访问的,但证据表明成功不均,引发了健康公平问题的担忧.
研究的目的:
- 系统地审查和分析医疗众筹中如何评估公平性.
- 在医疗众筹中确定健康差异的社会经济决定因素.
主要方法:
- 在主要数据库中按照PRISMA指南进行系统审查.
- 以PROGRESS框架为指导的数据提取,重点关注社会经济决定因素.
- 在包括的33项研究中,用于评估股权指标的诱导性内容分析.
主要成果:
- 通过资金结果,活动知名度和捐助者参与来评估公平性.
- 观察到的差异:农村/弱势地区的成功率较低,种族/种族不平等,复杂的性别差异.
- 社会经济地位,教育,社会资本和叙事技能影响了结果;平台算法加剧了不平等.
结论:
- 医疗众筹反映和加强结构性健康不平等,而不是纠正获取差距.
- 质疑医疗众筹作为一个公平的融资解决方案的概念.
- 为了更公平地获得医疗保健资源,需要政策干预.
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