胸部手术中的健康社会决定因素:理解和实施变革的关键点
Fatima G Wilder1, Ian C Bostock2, Ammara Watkins3
1Division of Thoracic Surgery, Brigham and Women's Hospital, Boston MA, USA.
The Annals of thoracic surgery
|August 24, 2025
概括
健康的社会决定因素 (SDOH) 显著影响胸部手术患者,影响肺癌查,治疗机会和结果. 解决SDOH对于改善患者护理和结果至关重要.
科学领域:
- 胸部手术
- 公共卫生
- 健康上的差异
背景情况:
- 健康不良社会决定因素 (SDOH) 需要胸部手术团队进行评估和缓解,以获得最佳的患者结果.
- 了解SDOH的影响对于提供公平有效的胸部外科手术至关重要.
研究的目的:
- 在胸部手术的背景下审查有关健康社会决定因素 (SDOH) 的当前文献.
- 确定与肺癌查,治疗和结果有关的挑战和潜在干预措施.
主要方法:
- 进行了对最近文献的叙述性回顾.
- 研究的主要领域包括肺癌查,胸部手术结果和SDOH的医疗系统级干预措施.
主要成果:
- 健康的社会决定因素 (SDOH) 对获得高质量的医疗保健产生负面影响.
- 低收入,教育程度和贫困社区等因素与肺癌查,手术率和临床试验参与率的减少有关.
结论:
- 胸部外科医生必须认识到SDOH对肺癌查,治疗机会,手术结果和生存率的影响.
- 将SDOH知识纳入术前和术后护理,包括肺部和食道病理和移植,是必不可少的.
- 其他医疗保健领域的成功干预可以指导针对性计划的实施,以提高胸部手术患者的结果.
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