癫痫手术中健康差异的多方面情况以及需要解决的差距。
FACETS of health disparities in epilepsy surgery and gaps that need to be addressed.
作者信息
Nathan Cody L, Gutierrez Camilo
机构信息
Hospital of the University of Pennsylvania (CLN), Philadelphia; and Department of Neurology (CG), University of Maryland Medical Center, Baltimore.
出版信息
Neurol Clin Pract. 2018 Aug;8(4):340-345. doi: 10.1212/CPJ.0000000000000490.
Abstract
PURPOSE OF REVIEW
Disparities in treatment and outcomes of patients with epilepsy have been identified in several distinct patient populations. The purpose of this review is to organize the literature and establish clear pathways as to why certain patient populations are not receiving epilepsy surgery. By establishing the acronym FACETS (fear of treatment, access to care, communication barriers, education, trust between patient and physician, and social support), we set up a pathway to further study this area in an organized fashion, hopefully leading to objective solutions.
RECENT FINDINGS
Studies revealed that African American, Hispanic, and non-English-speaking patients underwent surgical treatment for epilepsy at rates significantly lower compared to white patients.
SUMMARY
This article explains possible reasons outlined by FACETS for the health disparities in epilepsy surgery that exist in patients of a certain race, socioeconomic status, and language proficiency.
摘要
综述目的
在几个不同的患者群体中已发现癫痫患者在治疗及治疗结果方面存在差异。本综述的目的是梳理文献，并明确某些患者群体未接受癫痫手术的原因路径。通过创建首字母缩写词FACETS（对治疗的恐惧、获得医疗服务的机会、沟通障碍、教育、医患之间的信任以及社会支持），我们构建了一条路径，以便以有组织的方式进一步研究该领域，有望得出客观的解决方案。
最新发现
研究表明，非裔美国人、西班牙裔和非英语患者接受癫痫手术治疗的比例明显低于白人患者。
总结
本文解释了FACETS所概述的、在特定种族、社会经济地位和语言能力的患者中存在的癫痫手术健康差异的可能原因。
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Revisiting racial disparities in access to surgical management of drug-resistant temporal lobe epilepsy post implementation of Affordable Care Act.《平价医疗法案》实施后重新审视耐药性颞叶癫痫手术治疗可及性方面的种族差异
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