对于患有 (M) INOCA的女性而言,社会,职业和经济方面的考虑:叙事性审查
Sasha Voznyuk1, Emilie T Théberge1, Mahraz Parvand1
1University of British Columbia, Vancouver, British Columbia, Canada (Department of Medicine).
概括
患有心肌梗塞但没有阻塞性冠状动脉疾病 (MINOCA) 的妇女经历了显著的工作损害和经济负担. 解决职业,经济和心理社会因素对于改善他们的健康结果至关重要.
科学领域:
- 心血管医学 心血管医学
- 职业健康 职业健康 职业健康
- 卫生经济学 卫生经济学
背景情况:
- 心血管疾病是妇女死亡的主要原因,与男性相比,缺血和心肌梗塞没有阻塞性冠状动脉疾病 (INOCA/MINOCA) 的比率更高.
- 尽管在文学中代表性不足,但患有 (M) INOCA 的女性面临着独特的职业,经济和心理社会挑战.
- 现有的研究往往忽略了 (M) INOCA,主要关注缺血性心脏病,缺乏最近的健康经济研究.
研究的目的:
- 审查不成比例地影响女性 (M) INOCA 的职业,经济和心理社会因素.
- 讨论非阻塞性冠状动脉综合征患者在医疗保健利用,工作状态和工作特征方面的基于性别的差异.
- 突出需要研究 (M) INOCA 的经济和社会影响,以及测量工作损伤的有效工具.
主要方法:
- 通过MEDLINE,EMBASE和CINAHL识别的50篇文章的叙事审查.
- 关键词包括缺血性心脏病,非阻塞性冠状动脉综合征, (M) INOCA,妇女健康,问卷,调查,队列研究,工作场所结果和医疗成本.
- 分析的重点是基于性别的差异在医疗保健服务利用,工作状态和工作特征.
主要成果:
- 非阻塞性冠状动脉综合征与严重的临床,功能和经济负担有关,尽管死亡率较低.
- 患有 (M) INOCA 的女性经历了显著的发病率,生产力损失,并且更有可能提前退出劳动力.
- 缺乏最近的健康经济研究和验证的工具来衡量该人口中的工作障碍.
结论:
- 患有 (M) INOCA 的女性面临相当大的病率和经济后果,包括大量的劳动生产率损失.
- 解决基于性别的差异和社会影响的相互作用对于改善MINOCA妇女的结果至关重要.
- 需要包括工作场所和雇主在内的协作努力,以解决与工作有关的结果,并制定有针对性的干预措施.
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