Department of Radiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Department of Radiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
J Vasc Interv Radiol. 2022 Dec;33(12):1459-1467.e1. doi: 10.1016/j.jvir.2022.08.026. Epub 2022 Sep 2.
Racial, ethnic, and sex-based healthcare disparities have been documented for the past several decades. Nonetheless, disparities remain firmly entrenched in our care delivery systems, with multiple contributing factors, including patient interactions with care providers, systemic barriers to access, and socioeconomic determinants of health. Interventional radiology is also subject to these drivers of health inequity. In this review, documented disparities for the most common conditions being addressed by interventional radiologists are summarized; their magnitude is quantified where relevant, and underlying drivers are identified. Specific examples are provided to illustrate how medical, cultural, and socioeconomic factors interact to produce unequal outcomes. By outlining known disparities and common contributors, this review aims to motivate future efforts to mitigate them.
几十年来，一直有记录表明医疗保健存在种族、民族和性别差异。尽管如此，差异仍然在我们的医疗服务系统中根深蒂固，其存在多种促成因素，包括患者与医护人员的互动、获取医疗服务的系统性障碍，以及健康的社会经济决定因素。介入放射学也受到这些健康不平等的驱动因素影响。在这篇综述中，总结了介入放射学家所处理的最常见病症的已记录差异；在相关情况下对其程度进行了量化，并确定了潜在的驱动因素。提供了具体示例来说明医疗、文化和社会经济因素如何相互作用产生不平等的结果。通过概述已知的差异和常见的促成因素，本综述旨在激发未来减轻这些差异的努力。
