Department of Surgery, Division of Gastrointestinal Surgery, University of Alabama at Birmingham, 1720 2nd Avenue S, Birmingham, AL 35209, USA.
Department of Surgery, Division of Gastrointestinal Surgery, University of Alabama at Birmingham, 1720 2nd Avenue S, Birmingham, AL 35209, USA.
Surg Oncol Clin N Am. 2022 Apr;31(2):157-169. doi: 10.1016/j.soc.2021.11.002. Epub 2022 Mar 8.
Health care disparities are defined as health differences between groups that are avoidable, unnecessary, and unjust. Racial disparities in colorectal cancer mortality, particularly for Black patients, are well-described. Disparities in preventative measures, early detection, effective treatment, and posttreatment services contribute to these differences. Underlying these issues are patient, provider, health care system, and policy-level factors that lead to these disparities. Multilevel interventions designed to address each level of care can provide an effective means to mitigate these disparities.
卫生保健差异是指可以避免、不必要和不公正的群体之间的健康差异。结直肠癌死亡率方面的种族差异,尤其是黑人群体,已得到充分描述。预防措施、早期发现、有效治疗和治疗后服务方面的差异导致了这些差异。造成这些问题的原因包括患者、医务人员、医疗保健系统和政策层面的因素,这些因素导致了这些差异。旨在解决各个护理层面的多层次干预措施可以为减轻这些差异提供有效的手段。