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疾病负担和哮喘及慢性阻塞性肺疾病患者治疗的差异。

Disparities in Disease Burden and Treatment of Patients Asthma and Chronic Obstructive Pulmonary Disease.

机构信息

Harvard Medical School, Cambridge Health Alliance, 1493 Cambridge Street, Cambridge, MA 02138, USA.

出版信息

Med Clin North Am. 2022 Nov;106(6):1027-1039. doi: 10.1016/j.mcna.2022.08.005. Epub 2022 Oct 3.

Abstract

Lung health reflects the inequities of our society. Asthma and chronic obstructive pulmonary disease are 2 lung conditions commonly treated in general clinical practice; each imposes a disproportionate burden on disadvantaged patients. Numerous factors mediate disparities in lung health, including air pollution, allergen exposures, tobacco, and respiratory infections. Members of racial/ethnic minorities and those of low socioeconomic status also have inferior access to high-quality medical care, compounding disparities in disease burden. Physicians can work against disparities in their practice, but wide-ranging policy reforms to achieve better air quality, housing, workplace safety, and healthcare for all are needed to achieve equity in lung health.

摘要

肺部健康反映了我们社会的不平等。哮喘和慢性阻塞性肺疾病是两种常见的肺部疾病,在一般临床实践中进行治疗;每种疾病都给弱势患者带来了不成比例的负担。许多因素影响肺部健康的差异,包括空气污染、过敏原暴露、烟草和呼吸道感染。少数族裔和社会经济地位较低的人群也难以获得高质量的医疗服务,这加剧了疾病负担的差异。医生可以在实践中努力消除差异,但需要进行广泛的政策改革,以改善所有人的空气质量、住房、工作场所安全和医疗保健,从而实现肺部健康的公平。

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