癌症护理中的健康不平等:英国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.
发表日期:2024 Oct
作者:
Emily C S Scott, Peter J Hoskin
来源:
ECLINICALMEDICINE
摘要:
本文献综述讨论了英国当前癌症护理方面的健康差异,涵盖服务获取、诊断和结果等方面。这些不平等源于健康素养、种族、社会经济地位、年龄、性别、地理位置和生活方式选择等因素的复杂相互作用。健康素养在及时就医和诊断方面发挥着至关重要的作用,而文化信仰则显着影响观念和行为。由于获得预防措施和高质量治疗的机会有限,社会经济障碍常常导致诊断延迟和预后较差。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变化以及不参加二级保健预约。应对这些挑战需要采取旨在提高健康素养、实施文化敏感筛查方法以及提高初级和二级保健服务可及性的举措。© 2024 作者。
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.© 2024 The Authors.