提供肺部康复治疗的公平:系统性审查和元分析
Anne E Holland1,2,3, Zahra Hamidah Eri Rusli4,5, Murilo Rezende Oliveira4,6
1School of Translational Medicine, Monash University, Melbourne, Australia a.holland@alfred.org.au.
概括
肺部康复的获取和采用是不公平的,特别是在农村地区,黑人和社会经济地位较低的人群中. 需要有针对性的干预措施,以确保所有慢性肺病患者平等获得肺康复福利.
科学领域:
- 肺部医学 肺部医学
- 健康 公平 卫生 公平
- 实施科学 实施科学
背景情况:
- 阻碍肺部康复的障碍,不成比例地影响慢性肺病患者.
- 健康的社会决定因素 (SDOH) 在这些差异中发挥着重要作用.
- 了解这些不平等对于改善患者的治疗结果至关重要.
研究的目的:
- 系统地审查和评估肺部康复提供和结果的公平性.
- 评估健康的社会决定因素对肺部康复的影响.
- 确定影响访问,吸收,完成和有效性的因素.
主要方法:
- 在四个在线数据库中进行了系统搜索.
- 雇佣了两个独立的审查员进行研究选和数据提取.
- 利用PROGRESS-Plus框架对SDOH进行分类,并将其映射到健康公平实施框架中.
主要成果:
- 来自13个国家的32项研究揭示了显著的不平等.
- 农村居住,黑人种族和低社会经济地位与较差的访问和吸收有关.
- 男性比女性更有可能完成肺部康复;有工作的人不太可能完成.
结论:
- 在提供肺部康复治疗方面存在重大不平等.
- 需要有针对性的干预措施来解决弱势群体的差异.
- 确保公平获得允许所有患有慢性肺病的人从肺部康复中受益.
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