Division of General Internal Medicine, Department of Medicine, University of Toronto, Canada (M.K.K.).
ICES, Toronto, Canada (M.K.K.).
Stroke. 2023 Feb;54(2):379-385. doi: 10.1161/STROKEAHA.122.039562. Epub 2023 Jan 23.
Inequities in stroke care and outcomes have been documented both within and among countries based on factors, such as race, geography, and socioeconomic status. Research can help us to identify, understand, and address inequities, and this article offers considerations for scientists working in this area. These include designing research aimed at identifying the underlying causes of inequities, recognizing the importance of the social determinants of health, considering interventions that go beyond the individual patient and provider to include policies and systems, acknowledging the role of structural racism, performing community-engaged participatory research, considering intersecting social identities, learning from cross-national comparisons, maintaining the data sources needed for inequities research, using terminology that advances health equity, and improving diversity across the research enterprise.
在国家内部和国家之间，基于种族、地理位置和社会经济地位等因素，已经记录了中风护理和结果方面的不平等现象。研究可以帮助我们识别、理解和解决不平等问题，本文为从事这一领域研究的科学家提供了一些考虑因素。这些因素包括设计旨在确定不平等现象根本原因的研究，认识到健康社会决定因素的重要性，考虑超越个体患者和提供者的干预措施，包括政策和制度，承认结构性种族主义的作用，开展社区参与式参与性研究，考虑交叉的社会身份，从跨国比较中学习，维护不平等研究所需的数据来源，使用推进健康公平的术语，以及改善整个研究领域的多样性。
