寻求健康的行为及其在印度非传染性疾病的决定因素 - - 一个系统的审查和元分析
Madhumitha Haridoss1, Dhruva Nandi1, Raji Rajesh Lenin1
1Division of Medical Research, Faculty of Medicine and Health Sciences, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur, India.
大多数患有非传染性疾病 (NCD) 的印度人寻求治疗,更喜欢全科医疗和私人设施. 关键障碍包括感知到的疾病严重程度和成本,突出了针对性干预的需要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 印度面临着非传染性疾病 (NCD) 的显著和日益增加的负担,包括糖尿病,心血管疾病和癌症.
- 这些非传染性疾病对国家的医疗保健系统造成了巨大的压力,需要有效的预防和管理策略.
研究的目的:
- 进行系统性审查和元分析 (SRMA),以了解印度NCD的健康寻求行为.
- 确定影响非传染性疾病治疗的关键障碍和促进因素,以告知有针对性的公共卫生干预措施.
主要方法:
- 该SRMA协议已注册 (PROSPERO:CRD42023476381) 并遵循了PRISMA 2020指南.
- 在PubMed-Medline和Scopus数据库中搜索到到2023年10月27日之前发表的关于成年患有非传染性疾病 (NPCDCS计划) 的研究.
- 使用随机效应模型对40项符合条件的研究数据进行了元分析.
主要成果:
- 72.72%的个人寻求治疗现有的非传染性疾病,强烈偏爱全方位医学 (73.09%) 而不是替代医学 (8.89%).
- 主要障碍包括不被认为是严重的疾病 (47.85%) 和财务限制 (32.63%).
- 癌症治疗的延迟与癌症缺乏意识和无痛性有关;私人设施比公共设施更受青.
结论:
- 这个SRMA提供了对印度NCD健康寻求行为的全面概述.
- 研究结果突出了影响医疗保健获取的社会经济,文化和系统因素的复杂相互作用.
- 针对特定障碍的有针对性的干预措施对于改善公共卫生结果和减少非传染性疾病负担至关重要.
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