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获得放射治疗对提高胃癌护理质量和平等性的作用。

Access to radiotherapy in improving gastric cancer care quality and equality.

作者信息

Wang Minmin, Huang Kepei, Fan Xiaohan, Wang Jia, Jin Yinzi, Zheng Zhi-Jie

机构信息

Department of Global Health, School of Public Health, Peking University, Beijing, China.

Institute for Global Health and Development, Peking University, Beijing, China.

出版信息

Commun Med (Lond). 2024 Nov 2;4(1):225. doi: 10.1038/s43856-024-00655-z.

Abstract

BACKGROUND

Quality health services could improve patient outcomes and prognosis. Gastric cancer care was of great disparity across genders. Disparities within radiotherapy units could impact gastric cancer care, potentially exacerbating gender-based inequalities.

METHODS

We retrieved the disease burden data from Global Burden of Disease 2019. A quality of care index was constructed by applying principal component analysis techniques. The disparity of gastric cancer care across genders was described, and the association of access to radiotherapy with gastric cancer care as well as gender disparity was explored.

RESULTS

Males receive better quality of gastric cancer care than females, and this gender disparity is widening in middle-low socio-development regions. A positive correlation emerges between the density of radiotherapy facilities and an elevated quality of care, and reduced gender-based disparities.

CONCLUSIONS

The association between robust radiotherapy access, improved gastric cancer QCI, and reduced gender-based disparities spotlights the imperative of fortifying radiotherapy infrastructure within areas and populations in greatest need.

摘要

背景

优质的医疗服务可以改善患者的治疗效果和预后。胃癌护理在不同性别之间存在很大差异。放疗单位内部的差异可能会影响胃癌护理,有可能加剧基于性别的不平等。

方法

我们从《2019年全球疾病负担》中检索了疾病负担数据。通过应用主成分分析技术构建了护理质量指数。描述了胃癌护理在不同性别之间的差异,并探讨了放疗可及性与胃癌护理以及性别差异之间的关联。

结果

男性接受的胃癌护理质量优于女性,并且这种性别差异在社会发展中低水平地区正在扩大。放疗设施的密度与护理质量的提高以及基于性别的差异减少之间存在正相关。

结论

强大的放疗可及性、改善的胃癌护理质量指数以及减少的基于性别的差异之间的关联凸显了在最需要的地区和人群中加强放疗基础设施的紧迫性。

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