Katherine-Helen Hurndall, Jonathan Clarke, Ana-Luisa Neves, Ara Darzi
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引用次数: 0
Abstract
Background: Equitability of healthcare and timely access to services are essential components of healthcare quality, yet persistent health inequalities and inequity of access remain global challenges. The COVID-19 pandemic further exacerbated these disparities, underscoring the urgency to address health inequalities. In the United Kingdom (UK), despite longstanding recognition and efforts to tackle health inequalities, progress has been slow, with the pandemic highlighting stark disparities in healthcare outcomes and access. Renewed governmental initiatives and regional strategies aim to address these disparities, including within elective surgical care.
Methods and analysis: This living scoping review protocol follows established methodological frameworks to map current evidence on strategies to reduce health inequalities in elective surgical care in the UK. Electronic databases (OVID Medline, Embase, Health Management Information Consortium, CINAHL) and grey literature sources will be systematically searched, with no time limit set, to identify relevant studies and documents. Selection criteria include articles describing strategies or policies aiming to reduce health inequalities in elective surgical care for adults in the UK, along with their impact on health outcomes. Data will be charted, collated, and summarised to provide a narrative description of findings.
Discussion: This is the first living scoping review to map the available evidence on strategies to reduce inequalities in elective surgical care, across the whole patient pathway, in the UK. It is anticipated that this living review will be useful in informing future research, policy, and good practice. The findings of the scoping review will be submitted for peer-reviewed publication, presented at academic conferences, and discussed with a steering committee to inform future studies.
Systematic review registration: The protocol was submitted to the Open Science Framework on 30/05/2024.
背景：卫生保健的公平性和及时获得服务是卫生保健质量的重要组成部分，但持续存在的卫生不平等和获得服务的不公平仍然是全球性挑战。2019冠状病毒病大流行进一步加剧了这些差距，凸显了解决卫生不平等问题的紧迫性。在联合王国（联合王国），尽管长期以来认识到并努力解决保健不平等问题，但进展缓慢，大流行病突出了保健结果和获得机会方面的明显差异。新的政府举措和区域战略旨在解决这些差距，包括在选择性外科护理中。方法和分析：本活的范围审查协议遵循既定的方法框架，以绘制关于减少英国选择性外科护理中健康不平等的战略的当前证据。系统检索电子数据库（OVID Medline, Embase, Health Management Information Consortium， CINAHL）和灰色文献来源，不设时间限制，以确定相关研究和文献。选择标准包括描述旨在减少英国成人选择性外科护理中健康不平等的策略或政策的文章，以及它们对健康结果的影响。数据将被绘制、整理和总结，以提供对调查结果的叙述性描述。讨论：这是第一个活的范围审查，绘制的战略，以减少选择性手术护理不平等的现有证据，在整个患者途径，在英国。预计这篇活的综述将有助于为未来的研究、政策和良好实践提供信息。范围审查的结果将提交同行评议的出版物，在学术会议上发表，并与指导委员会讨论，为未来的研究提供信息。系统评价注册：该方案已于2024年5月30日提交给开放科学框架。
期刊介绍：
Systematic Reviews encompasses all aspects of the design, conduct and reporting of systematic reviews. The journal publishes high quality systematic review products including systematic review protocols, systematic reviews related to a very broad definition of health, rapid reviews, updates of already completed systematic reviews, and methods research related to the science of systematic reviews, such as decision modelling. At this time Systematic Reviews does not accept reviews of in vitro studies. The journal also aims to ensure that the results of all well-conducted systematic reviews are published, regardless of their outcome.
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