衡量健康不平等和不平等的方法方法的变化:对急性中风途径的范围审查
Stephen McCarthy1, Peter McMeekin1, Michael Allen2,3
1Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne NE1 8ST, UK.
Healthcare (Basel, Switzerland)
|June 26, 2025
概括
本次审查强调了评估急性中风护理中的地理和社会经济不平等的必要性. 衡量这些差异的标准化方法对于公平的医疗保健服务至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 医学社会学 医学社会学
背景情况:
- 医院前中风治疗的进步,如移动中风单位和护理点诊断,可能会在不同的人群中不同影响健康结果.
- 了解这些潜在的差异对于确保公平获得急性中风护理至关重要.
研究的目的:
- 确定在获得急性中风治疗方面存在的地理和社会经济不平等现象,包括再注射疗法.
- 分析这些不平等如何在现有研究中被测量和评估.
- 为分析急性中风护理干预措施中的不平等性提出方法改进建议.
主要方法:
- 使用PubMed和Scopus数据库进行了系统的文献搜索.
- 研究包括接受急性中风治疗的参与者,用地理和/或社会经济不平等或不平等的定量测量.
- 审查的重点是如何定义,分类和衡量不平等.
主要成果:
- 审查中包括了66项研究.
- 大多数研究 (59) 测量了地理不平等,而很大一部分 (36) 测量了社会经济不平等.
- 二十八项研究包括了地理和社会经济措施,但没有确定定义或衡量这些差异的共同方法.
结论:
- 评估急性中风护理计划必须考虑对不平等和不平等的影响.
- 研究人员和决策者之间的合作对于制定相关措施和评估不平等现象的适当方法至关重要.
- 不平等和不公平的明确定义,以及任何规范性判断,应该在研究结果中明确说明.
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