甲状腺护理中的差异。
Disparities in Thyroid Care.
机构信息
Department of Internal Medicine, Division of Metabolism, Endocrinology, and Diabetes, University of Michigan, 24 Frank Lloyd Wright Drive, PO Box 451, Ann Arbor, MI 48106, USA.
Section of Endocrine Surgery, UCLA David Geffen School of Medicine, 10833 Le Conte Avenue, Los Angeles, CA 90095, USA.
出版信息
Endocrinol Metab Clin North Am. 2022 Jun;51(2):229-241. doi: 10.1016/j.ecl.2021.11.017. Epub 2022 May 4.
Abstract
Thyroid disease affects an estimated 20 million Americans, with 1 in 8 women developing a thyroid disorder during her lifetime. Although most patients with thyroid cancer have a good prognosis and effective treatments for benign thyroid disease are available, disparities exist in thyroid care and result in worse outcomes for racial and ethnic minorities. Inequities in the diagnosis and treatment of thyroid disease are due to the complex interplay of systems-, physician-, and patient-level factors. Thus, innovative strategies that take an ecological approach to addressing racial disparities are needed to achieve equitable care for all patients with thyroid disease.
摘要
甲状腺疾病影响了约 2000 万美国人，8 名女性中就有 1 名在其一生中会患上甲状腺疾病。尽管大多数甲状腺癌患者预后良好，并且针对良性甲状腺疾病也有有效的治疗方法，但在甲状腺疾病的治疗方面仍存在差异，这导致了少数族裔的治疗结果更差。甲状腺疾病的诊断和治疗存在差异，是由于系统、医生和患者层面因素的复杂相互作用所致。因此，需要采取生态方法解决种族差异的创新策略，以实现所有甲状腺疾病患者的公平护理。
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