时间重新定义骨质疏松症:一个立场声明来描述骨质疏松症护理差距
Zoe Paskins1, Laurna Bullock1, Ashley Hawarden1
1Centre for Musculoskeletal Health Research, School of Medicine, Keele University, Keele, ST5 5BG, United Kingdom.
骨质疏松症护理差距,定义为当前和最佳以人为中心的护理之间的差异,需要多学科的方法. 解决这一差距需要社会和政策变化,以公平,以患者为中心的骨质疏松症管理.
科学领域:
- 骨健康与老年病学
- 公共卫生和卫生政策
- 患者为中心的护理模式
背景情况:
- 在全球范围内,骨质疏松症的诊断和治疗不足,造成了严重的治疗差距.
- 目前努力缩小这一差距的风险是以疾病为中心,忽视以人为中心的护理.
- 需要一个更广泛的"骨质疏松症护理差距"框架,包括诊断,评估和多学科管理.
研究的目的:
- 定义和描述骨质疏松症护理差距.
- 确定导致护理差距的多层次决定因素.
- 倡导以人为中心,公平,多学科的骨质疏松症护理方法.
主要方法:
- 召集了一个国际共识小组,包括具有实践经验的公共贡献者.
- 将"骨质疏松症护理差距"定义为提供护理与最佳实践,以人为中心的护理之间的差异.
- 确定了护理差距的多层次决定因素 (社会,政策,医疗保健服务,个人).
主要成果:
- 护理差距超出了药物治疗范围,包括诊断,评估和管理.
- 决定因素包括公众意识低,健康不平等,政策问题,服务碎片化和个人未得到满足的需求.
- 以人为中心,公平,多学科的方法对于有效的骨质疏松症护理至关重要.
结论:
- 缩小骨质疏松症护理差距需要转向以人为中心,公平和多学科的护理.
- 解决社会和政策层面的问题,包括公众意识和优先考虑,至关重要.
- 需要协调努力,专注于患者的价值观和偏好,以全面管理骨质疏松症.
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