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过敏性疾病的健康差异。

Health disparities in allergic diseases.

机构信息

Department of Pediatrics.

Department of Medicine.

出版信息

Curr Opin Allergy Clin Immunol. 2024 Apr 1;24(2):94-101. doi: 10.1097/ACI.0000000000000972. Epub 2024 Jan 30.

Abstract

PURPOSE OF REVIEW

Healthcare disparities impact prevalence, diagnosis, and management of allergic disease. The purpose of this review is to highlight the most recent evidence of healthcare disparities in allergic conditions to provide healthcare providers with better understanding of the factors contributing to disparities and to provide potential management approaches to address them. This review comes at a time in medicine where it is well documented that disparities exist, but we seek to answer the Why , How and What to do next?

RECENT FINDINGS

The literature highlights the socioeconomic factors at play including race/ ethnicity, neighborhood, insurance status and income. Management strategies have been implemented with the hopes of mitigating the disparate health outcomes including utilization of school-based health, distribution of educational tools and more inclusive research recruitment.

SUMMARY

The studies included describe the associations between upstream structural and social factors with downstream outcomes and provide ideas that can be recreated at other institutions of how to address them. Focus on research and strategies to mitigate healthcare disparities and improve diverse research participant pools are necessary to improve patient outcomes in the future.

摘要

综述目的:医疗保健差异会影响过敏疾病的流行率、诊断和管理。本综述的目的是强调过敏疾病中医疗保健差异的最新证据,使医疗保健提供者更好地了解导致差异的因素,并提供潜在的管理方法来解决这些问题。在医学领域,目前已有大量文献记录了差异的存在,但我们希望回答“为什么”“如何”以及“下一步该怎么做”。

最新发现:文献强调了发挥作用的社会经济因素,包括种族/民族、社区、保险状况和收入。已经实施了管理策略,希望减轻不同的健康结果,包括利用学校卫生、分发教育工具和更具包容性的研究招募。

总结:所纳入的研究描述了上游结构和社会因素与下游结果之间的关联,并提供了在其他机构如何解决这些问题的思路。关注减轻医疗保健差异和改善多样化研究参与者群体的研究和策略对于未来改善患者的结果是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f11b/11111315/d888db1139e1/coaci-24-94-g001.jpg

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