癌症护理中的健康不平等:英国诊断途径文献综述。

IF 9.6 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL EClinicalMedicine Pub Date : 2024-09-27 eCollection Date: 2024-10-01 DOI:10.1016/j.eclinm.2024.102864
Emily C S Scott, Peter J Hoskin
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引用次数: 0

摘要

这篇文献综述讨论了英国目前在癌症治疗方面存在的健康差异,包括获得服务、诊断和治疗结果等方面。这些不平等源于健康素养、种族、社会经济地位、年龄、性别、地域和生活方式选择等因素的复杂相互作用。健康素养对及时就医和诊断起着至关重要的作用,而文化信仰则在很大程度上影响着人们的观念和行为。社会经济方面的障碍往往会导致诊断延误,并因获得预防措施和高质量治疗的机会有限而导致治疗效果不佳。妨碍及时诊断的因素包括:非特异性症状、受年龄和性别影响的诊断间隔时间差异以及不参加二级护理预约。要应对这些挑战,就必须采取旨在提高健康素养、实施文化敏感性筛查方法以及加强初级和二级保健服务可及性的举措。
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Health inequalities in cancer care: a literature review of pathways to diagnosis in the United Kingdom.

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.

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来源期刊
EClinicalMedicine
EClinicalMedicine Medicine-Medicine (all)
CiteScore
18.90
自引率
1.30%
发文量
506
审稿时长
22 days
期刊介绍: eClinicalMedicine is a gold open-access clinical journal designed to support frontline health professionals in addressing the complex and rapid health transitions affecting societies globally. The journal aims to assist practitioners in overcoming healthcare challenges across diverse communities, spanning diagnosis, treatment, prevention, and health promotion. Integrating disciplines from various specialties and life stages, it seeks to enhance health systems as fundamental institutions within societies. With a forward-thinking approach, eClinicalMedicine aims to redefine the future of healthcare.
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