以公平为重点的研讨会:开发一种补充方法来判断卫生干预措施的公平性
Gemma Spiers1, Jane McDermott2, Eugenie Evelyn Johnson1
1National Institute for Health and Care Research (NIHR) Policy Research Unit in Healthy Ageing, Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne, UK.
Journal of health equity
|August 4, 2025
概括
以公平为重点的研讨会 (EFWs) 提供了一种新的方法来评估弱势群体的干预可访问性. 这些研讨会为潜在障碍提供了有价值的初步见解,补充了传统的证据综合.
科学领域:
- 卫生公平研究 卫生公平研究
- 健康的社会决定因素
- 证据综合的方法论.
背景情况:
- 评估干预公平性的系统审查至关重要,但当初级研究缺乏不公平性数据时,这些评估是有限的.
- 现有的方法可能无法充分捕捉不同社会经济群体平等获取的细微差别.
- 当初始数据稀少时,评估干预公平性的方法存在差距.
研究的目的:
- 开发和试点以股权为重点的研讨会 (EFWs) 作为证据综合的补充方法.
- 评估EFW在理解社会经济群体之间的干预公平方面的有用性.
- 识别对遭受物质劣势的人群进行干预的潜在障碍.
主要方法:
- 与方法专家一起制定了一份研讨会协议,重点是社会经济群体之间的平等准入.
- 通过使用假设干预措施,与经历物质劣势的个人进行了三次研讨会.
- 收集和分析了参与者关于干预接受度和可访问性的意见.
主要成果:
- 参与者发现了参与干预的许多物质和非物质障碍.
- 突出的关键问题包括耻辱,缺乏对物质困难的专业理解,以及参与者成本.
- 研讨会提供了关于干预措施如何排除弱势群体的见解.
结论:
- 以公平为重点的研讨会 (EFWs) 可以提供关于卫生干预措施对弱势群体潜在排斥的初步见解.
- 这种方法对于补充证据综合是有价值的,特别是当初级研究缺乏详细的股权数据时.
- 从最终用户的角度来看,EFW提供了一种实际的方法来理解干预公平.
相关概念视频
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
174
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,...
174
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.4K
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:
2.4K
01:26Methods 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
01:25Strategies for Assessing and Addressing Confounding
155
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
155
01:20Study Designs in Epidemiology
419
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
419
01:29Bias in Epidemiological Studies
683
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
683