公平获得炎症性肠病护理:挑战,战略和未来方向
Johan Burisch1,2,3, Rupa Banerjee4, Gillian Watermeyer5
1Gastro Unit, Medical Section, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.
全球炎症性肠病 (IBD) 护理机会不平等,低收入国家和少数群体面临重大障碍. 解决差异需要政策改革,扩大能力和创新的解决方案,以实现公平的患者结果.
科学领域:
- 胃肠病学和公共卫生
背景情况:
- 炎症性肠病 (IBD) 的全球负担在所有收入水平上都在增加.
- 各国之间和各国内部在获得优质IBD护理方面存在显著差异,影响了各种患者群体.
研究的目的:
- 分析在全球范围内实现公平获得IBD护理的多方面的挑战.
- 提出改善全球IBD患者医疗保健公平的战略.
主要方法:
- 审查当前全球IBD护理获取挑战,包括社会经济,地理和系统因素.
- 确定多层次战略,以提高IBD管理中的公平性.
主要成果:
- 低收入和中等收入国家 (LMICs) 和农村地区的患者面临专家短缺和有限的治疗选择.
- 高收入国家的弱势群体面临财务障碍和粮食不安全.
- 少数民族和种族少数群体经常面临延迟诊断,减少对生物制剂等先进治疗方法的访问,以及在研究中的代表性不足.
结论:
- 实现公平的IBD护理需要政策改革,解决健康和报销的社会决定因素.
- 扩大诊断和治疗能力以及远程医疗和人工智能等创新方法至关重要.
- 全球合作,患者参与和文化能力对于全球可持续,以患者为中心和包容性IBD护理至关重要.
更多相关视频
08:27Dynamic Adhesion Assay for the Functional Analysis of Anti-adhesion Therapies in Inflammatory Bowel Disease
Published on: September 20, 2018
08:58Analyzing Beneficial Effects of Nutritional Supplements on Intestinal Epithelial Barrier Functions During Experimental Colitis
Published on: January 5, 2017
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Inflammatory Bowel Disease IV: Pharmacological Management
Pharmacologic...
Inflammatory Bowel Disease I: Ulcerative Colitis
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
