紧急医学的叙事审查 临床研究 通过语言检查排除
Alexa M Curt1, Olivia Kahn-Boesel2, Melis Lydston3
1Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts.
The western journal of emergency medicine
|November 5, 2025
概括
许多急诊室的研究都排除了那些偏爱英语以外的语言的患者. 这种排除影响了非英语语言优先 (NELP) 人群的临床研究代表性.
科学领域:
- 紧急医疗 紧急医疗
- 临床研究 临床研究
- 健康 公平 卫生 公平
背景情况:
- 超过20%的美国居民说一种非英语语言.
- 紧急诊所 (ED) 是这些人群的关键医疗保健接入点.
- 关于非英语语言优先 (NELP) 患者在临床研究中的代表性不足存在担忧.
研究的目的:
- 确定急诊室 (ED) 研究中基于语言偏好排除患者的比例.
- 评估语言排斥对临床研究包容性的影响.
主要方法:
- 对2018-2023年间发表的研究进行了叙述性审查.
- 七个搜索引擎被用于识别相关的ED或医院前研究.
- 如果这些研究提到参与者的语言和潜在的注册患者,就会被纳入;排除标准包括年龄<18岁或非美国环境.
主要成果:
- 在10513项已识别的研究中,有281项符合审查条件.
- 大多数患者 (163) (58%) 排除了非英语语言优先 (NELP) 患者.
- 在干预性研究中,69%的NELP患者被排除在外,47%的以健康公平为重点的研究也将他们排除在外.
结论:
- 超过一半的提到语言的ED研究排除了NELP患者.
- 这突显了急诊医学中包容性研究设计的关键差距.
- 需要进一步努力,以促进和支持包括多元语言群体在内的研究设计.
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