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癌症护理中的健康不平等:英国癌症诊断途径的文献综述

Health inequalities in cancer care: a literature review of pathways to diagnosis in the United Kingdom.

作者信息

Scott Emily C S, Hoskin Peter J

机构信息

Mount Vernon Cancer Centre, London, United Kingdom.

Division of Cancer Sciences, University of Manchester, Manchester, United Kingdom.

出版信息

EClinicalMedicine. 2024 Sep 27;76:102864. doi: 10.1016/j.eclinm.2024.102864. eCollection 2024 Oct.

Abstract

This literature review discusses current health disparities in cancer care in the United Kingdom, spanning access to services, diagnosis, and outcomes. These inequities stem from a complex interplay of factors such as health literacy, ethnicity, socioeconomic status, age, gender, geography, and lifestyle choices. Health literacy plays a crucial role in timely healthcare seeking and diagnosis, while cultural beliefs significantly shape perceptions and behaviours. Socioeconomic barriers often result in delayed diagnosis and inferior outcomes due to limited access to preventive measures and high-quality treatment. Barriers to timely diagnosis include non-specific symptoms, variations in diagnostic intervals influenced by age and gender, and non-attendance at secondary care appointments. Addressing these challenges necessitates initiatives aimed at improving health literacy, implementing culturally sensitive screening approaches, and enhancing accessibility to both primary and secondary care services.

摘要

这篇文献综述讨论了英国癌症护理中当前存在的健康差异,涵盖了服务可及性、诊断和治疗结果等方面。这些不平等现象源于健康素养、种族、社会经济地位、年龄、性别、地理位置和生活方式选择等多种因素的复杂相互作用。健康素养在及时寻求医疗护理和诊断方面起着关键作用,而文化信仰则显著影响着认知和行为。社会经济障碍往往导致诊断延迟和治疗结果较差,原因是获得预防措施和高质量治疗的机会有限。及时诊断的障碍包括非特异性症状、受年龄和性别影响的诊断间隔差异以及未按时赴二级护理预约。应对这些挑战需要采取旨在提高健康素养、实施具有文化敏感性的筛查方法以及增强初级和二级护理服务可及性的举措。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9761/11470173/52b5080a5746/gr1.jpg

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