移植中的地理、不平等和健康的社会决定因素。
Geography, inequities, and the social determinants of health in transplantation.
机构信息
Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, United States.
Center for Health Services Research, Regenstrief Institute, Indianapolis, IN, United States.
出版信息
Front Public Health. 2023 Dec 7;11:1286810. doi: 10.3389/fpubh.2023.1286810. eCollection 2023.
Among the causes of inequity in organ transplantation, geography is oft-cited but rarely defined with precision. Traditionally, geographic inequity has been characterized by variation in distance to transplant centers, availability of deceased organ donors, or the consequences of allocation systems that are inherently geographically based. Recent research has begun to explore the use of measures at various geographic levels to better understand how characteristics of a patient's geographic surroundings contribute to a broad range of transplant inequities. Within, we first explore the relationship between geography, inequities, and the social determinants of health. Next, we review methodologic considerations essential to geographic health research, and critically appraise how these techniques have been applied. Finally, we propose how to use geography to improve access to and outcomes of transplantation.
在器官移植不公平现象的诸多原因中，地理位置是一个经常被提及但很少被精确定义的因素。传统上，地理位置的不公平主要表现为与移植中心的距离、已故器官捐献者的可用性的变化，或者是基于地理位置的分配系统的固有后果。最近的研究开始探索在不同地理层面使用各种措施，以更好地了解患者地理环境的特征如何导致广泛的移植不公平现象。在本文中，我们首先探讨了地理、不公平现象和健康的社会决定因素之间的关系。接下来，我们回顾了地理健康研究中必不可少的方法学考虑因素，并批判性地评价了这些技术的应用。最后，我们提出了如何利用地理信息来改善器官移植的可及性和结果。
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