社会决定因素与儿科创伤护理中的差异：系统评价和荟萃分析的方案。
Social determinants of health and disparities in pediatric trauma care: protocol for a systematic review and meta-analysis.
机构信息
Population Health and Optimal Health Practices Unit, Trauma-Emergency-Critical Care Medicine, Centre de Recherche du CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus), Université Laval, Montreal, QC, Canada.
Department of Social and Preventive Medicine, Faculté de Médecine, Université Laval, Quebec City, QC, Canada.
出版信息
Syst Rev. 2024 Mar 22;13(1):94. doi: 10.1186/s13643-024-02510-7.
BACKGROUND
Social determinants of health (SDH), including "the conditions in which individuals are born, grow, work, live and age" affect child health and well-being. Several studies have synthesized evidence about the influence of SDH on childhood injury risks and outcomes. However, there is no systematic evidence about the impact of SDH on accessing care and quality of care once a child has suffered an injury. We aim to evaluate the extent to which access to care and quality of care after injury are affected by children and adolescents' SDH.
METHODS
Using Cochrane methodology, we will conduct a systematic review including observational and experimental studies evaluating the association between social/material elements contributing to health disparities, using the PROGRESS-Plus framework: place of residence, race/ethnicity/culture/language, occupation, gender/sex, religion, education, socioeconomic status, and social capital and care received by children and adolescents (≤ 19 years of age) after injury. We will consult published literature using PubMed, EMBASE, CINAHL, PsycINFO, Web of Science, and Academic Search Premier and grey literature using Google Scholar from their inception to a maximum of 6 months prior to submission for publication. Two reviewers will independently perform study selection, data extraction, and risk of bias assessment for included studies. The risk of bias will be assessed using the ROBINS-E and ROB-2 tools respectively for observational and experimental study designs. We will analyze data to perform narrative syntheses, and if enough studies are identified, we will conduct a meta-analysis using random effects models.
DISCUSSION
This systematic review will provide a synthesis of evidence on the association between SDH and pediatric trauma care (access to care and quality of care) that clinicians and policymakers can use to better tailor care systems and promote equitable access and quality of care for all children. We will share our findings through clinical rounds, conferences, and publication in a peer-reviewed journal.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42023408467.
背景
健康的社会决定因素（SDH），包括“个人出生、成长、工作、生活和衰老的环境”，会影响儿童的健康和福祉。有几项研究综合了社会决定因素对儿童伤害风险和后果影响的证据。然而，目前还没有关于社会决定因素对儿童受伤后获得护理和护理质量影响的系统证据。我们旨在评估儿童和青少年的社会决定因素对受伤后获得护理和护理质量的影响程度。
方法
我们将使用 Cochrane 方法，进行一项系统评价，包括评估社会/物质因素与健康差距之间关联的观察性和实验性研究，使用 PROGRESS-Plus 框架：居住地、种族/民族/文化/语言、职业、性别/性别、宗教、教育、社会经济地位和社会资本，以及儿童和青少年（≤19 岁）受伤后的护理。我们将使用 PubMed、EMBASE、CINAHL、PsycINFO、Web of Science 和 Academic Search Premier 查阅已发表文献，并使用 Google Scholar 查阅灰色文献，从文献开始到提交发表前最多 6 个月。两名评审员将独立进行研究选择、数据提取和纳入研究的偏倚风险评估。将使用 ROBINS-E 和 ROB-2 工具分别评估观察性和实验性研究设计的偏倚风险。我们将对数据进行分析，以进行叙述性综合，并在确定足够数量的研究后，使用随机效应模型进行荟萃分析。
讨论
这项系统评价将综合有关社会决定因素与儿科创伤护理（获得护理和护理质量）之间关联的证据，临床医生和政策制定者可以利用这些证据来更好地调整护理系统，并促进所有儿童公平获得护理和护理质量。我们将通过临床查房、会议和在同行评议期刊上发表来分享我们的研究结果。
系统评价注册
PROSPERO CRD42023408467。
Zotero 插件