在糖尿病管理中公平使用患者报告结果的障碍
Elisabeth Sand Thorup1, Caroline Raun Hansen1, Ane Mette Zander Olsen1
1Department of Endocrinology, Copenhagen University Hospital - Bispebjerg and Frederiksberg Hospital.
参与新的糖尿病患者报告结果 (PRO) 调查问卷因社会经济地位而有所不同. 弱势群体,包括非西方移民和精神病并发症群体,参与度较低,这凸显了需要有针对性的支持,以确保平等获得以患者为中心的护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 糖尿病 护理 糖尿病 护理
背景情况:
- 社会经济地位显著影响与糖尿病相关的健康结果,这是一个公认的挑战.
- 以患者为中心的护理,以患者报告的结果 (PRO) 措施为基础,对于定制干预措施至关重要.
- 丹麦的新型糖尿病专用PRO问卷旨在系统地评估患者的体验,并确定护理障碍.
研究的目的:
- 为了检查参与率在一个新的糖尿病特定的PRO问卷.
- 调查社会经济地位与参与调查问卷之间的关系.
- 评估严重的精神病并发症对参与的影响.
主要方法:
- 一项基于登记的研究分析了糖尿病患者参与PRO糖尿病问卷的情况.
- 用多种后勤回归模型来评估参与状态.
- 与社会经济地位相关的变量被纳入分析.
主要成果:
- 社会经济地位成为参与调查问卷的重要预测因素.
- 非西方移民显示出与参与率较低的最强的关联.
- 在特定分析中,西方移民,低教育程度和严重的精神病并发症也是重要的预测因素.
结论:
- 在PRO糖尿病调查问卷参与中存在差异,与社会经济地位和严重的精神病并发症有关.
- 有针对性的干预措施是必要的,以支持弱势群体参与以患者为中心的护理.
- 解决这些参与差距对于促进公平获取和减少糖尿病健康不平等至关重要.
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