Health inequities in dialysis care: A scoping review.

IF 1.4 4区医学 Q3 UROLOGY & NEPHROLOGY Seminars in Dialysis Pub Date : 2023-11-01 Epub Date: 2023-09-21 DOI:10.1111/sdi.13176

Lindsey Kay Purcell, Joseph William Schnitker, Ty Michael Moore, Andriana Mercedes Peña, Mitchell Faris Love, Alicia Ito Ford, Benjamin Matt Vassar

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Abstract

Main problem: We aim to look at potential gaps in current dialysis literature on inequities and explore future research that could contribute to more equitable care.

Methods: Following guidelines from the Joanna Briggs Institute (JBI) and the Preferred Reporting Items for Systematic reviews and Meta Analyses extension for Scoping Reviews (PRISMA-ScR), we conducted a scoping review of health inequities in dialysis. PubMed and Ovid Embase were searched in July 2022 for articles published between 2016 and 2022 that examined at least one of the following NIH defined health inequities: race/ethnicity, sex/gender, LGBTQ+ identity, underserved rural populations, education level, income, and occupation status. Frequencies of each health inequity as well as trends over time of the four most examined inequities were analyzed.

Results: In our sample of 69 included studies, gaps were identified in LGBTQ+ identity and patient education. Inequities pertaining to race/ethnicity, sex/gender, underserved rural populations, and income were sufficiently reported. No trends between inequities investigated over time were identified.

Conclusions: Our scoping review examined current literature on health inequities pertaining to dialysis and found gaps concerning LGBTQ+ and patients with lower levels of education. To help fill these gaps, and possibly alleviate additional burden to these patients, we recommend cultural competency training for providers and dialysis center staff as well as community-based educational programs to improve dialysis patients' health literacy.

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透析护理中的健康不公平现象：范围界定综述。

主要问题：我们的目标是研究当前透析文献中关于不平等的潜在差距，并探索未来有助于更公平护理的研究。方法：根据乔安娜·布里格斯研究所（JBI）的指导方针和系统评价的首选报告项目和范围界定评价的荟萃分析扩展（PRISMA ScR），我们对透析中的健康不公平现象进行了范围界定审查。PubMed和Ovid Embase于2022年7月搜索了2016年至2022年间发表的文章，这些文章研究了至少一种美国国立卫生研究院定义的健康不平等：种族/民族、性别/性别、LGBTQ+身份、服务不足的农村人口、教育水平、收入和职业状况。分析了每种健康不平等的频率以及四种最受检查的不平等随时间的变化趋势。结果：在我们的69项纳入研究的样本中，发现了LGBTQ+身份和患者教育方面的差距。充分报告了种族/族裔、性别/性别、服务不足的农村人口和收入方面的不平等现象。没有发现随着时间的推移所调查的不平等之间的趋势。结论：我们的范围界定审查审查了当前有关透析健康不平等的文献，发现了LGBTQ+和教育水平较低的患者之间的差距。为了帮助填补这些空白，并可能减轻这些患者的额外负担，我们建议对提供者和透析中心工作人员进行文化能力培训，以及社区教育计划，以提高透析患者的健康素养。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Dialysis 医学-泌尿学与肾脏学

CiteScore

3.00

自引率

6.20%

发文量

审稿时长

4-8 weeks

期刊介绍： Seminars in Dialysis is a bimonthly publication focusing exclusively on cutting-edge clinical aspects of dialysis therapy. Besides publishing papers by the most respected names in the field of dialysis, the Journal has unique useful features, all designed to keep you current: -Fellows Forum -Dialysis rounds -Editorials -Opinions -Briefly noted -Summary and Comment -Guest Edited Issues -Special Articles Virtually everything you read in Seminars in Dialysis is written or solicited by the editors after choosing the most effective of nine different editorial styles and formats. They know that facts, speculations, ''how-to-do-it'' information, opinions, and news reports all play important roles in your education and the patient care you provide. Alternate issues of the journal are guest edited and focus on a single clinical topic in dialysis.