Achieving Equity in Neurological Practice: Principles and Pathways

Ovbiagele, Bruce, Lewis, Sharon, Correa, Daniel Jose

Achieving Equity in Neurological Practice: Principles and Pathways
  • 出版商: Springer
  • 出版日期: 2024-10-23
  • 售價: $5,690
  • 貴賓價: 9.5 折 $5,406
  • 語言: 英文
  • 頁數: 461
  • 裝訂: Hardcover - also called cloth, retail trade, or trade
  • ISBN: 3031627261
  • ISBN-13: 9783031627262

    • 海外代購書籍(需單獨結帳)

相關主題

商品描述

The recent high-profile murders of George Floyd, and other African American individuals, along with the prevailing coronavirus disease (COVID-19) pandemic have reinforced the notion that certain marginalized populations have worse health outcomes than other populations, likely due to unequal and unjust policies and practices.

Neurological processes and prognoses frequently vary by sex/gender, race/ethnicity, socioeconomic status, and geographic location. In particular, individuals of lower socioeconomic status and from minority racial and ethnic backgrounds have worse neurological health and often receive a lower standard of neurological care. These inequities in neurological outcomes are attributed to wider societal social influences, which impact how people live and how neurology is practiced.

Published evidence suggests that healthcare providers and the healthcare system contribute to inequities in neurological care for vulnerable and underserved populations. However, educating neurology care providers about these issues and training them to provide equitable care for these patients can potentially improve neurology care access, delivery, and outcomes.

In this book we provide the theoretical background, scientific evidence, and experiential knowledge warranted to properly care for vulnerable, underserved patients with neurological diseases at the levels of the provider and system. This book examines the root causes of neurological health inequities across a broad range of topics and offers possible solutions for achieving neurological health equity. Initial chapters help to frame the overall issue of neurological health equity. Subsequent chapters evaluate neurological health equity from the clinical practice standpoint, with a focus on select populations and subspecialty care delivery settings. Lastly, we discuss the bigger picture with regard to the pipeline of practitioners and purview of policy makers.

This text is relevant for neurology residents and fellows, multidisciplinary neurological care practitioners (neurologists, neurosurgeons, advanced practice providers, hospitalists, emergency physicians, critical care physicians, pharmacists, and allied health personnel), and public health researchers and health policy makers.

The book is divided into three sections: Principles, Neurological Conditions, and Priorities. The first section establishes the framework and explains various key terminologies and concepts, which undergird the care of vulnerable and undeserved patient populations. The second section, Neurological Conditions, covers key neurological diseases by sub-specialty describing published evidence of care and outcome disparities, gaps in knowledge, practical techniques for bridging these disparities on provider and system levels. The third section, Priorities, identifies important areas of focus and improvement targeting trainees, researchers, community partners, stakeholder organizations and policy makers, which would be crucial for implementing sustained societal-level enhancements in the neurological health of these vulnerable populations.

商品描述(中文翻譯)

最近，喬治·弗洛伊德（George Floyd）和其他非洲裔美國人的高調謀殺案，以及流行的冠狀病毒疾病（COVID-19）大流行，再次強調了某些邊緣化人口的健康結果比其他人口更糟糕，這很可能是由於不平等和不公正的政策和實踐所致。

性別/性別、種族/族裔、社會經濟地位和地理位置常常影響神經過程和預後。特別是社會經濟地位較低且屬於少數種族和族裔背景的人在神經健康方面表現較差，通常接受較低標準的神經護理。這些神經學結果的不平等歸因於更廣泛的社會社會影響，這些影響人們的生活方式以及神經學的實踐方式。

已發表的證據表明，醫療保健提供者和醫療系統對弱勢和未得到服務的人群的神經護理不平等貢獻很大。然而，教育神經護理提供者了解這些問題並培訓他們為這些患者提供公平的護理，有可能改善神經護理的接觸、提供和結果。

在本書中，我們提供了在提供者和系統層面上適當照顧弱勢、未得到服務的神經疾病患者所需的理論背景、科學證據和經驗知識。本書探討了神經健康不平等的根本原因，涵蓋了各種主題，並提供了實現神經健康公平的可能解決方案。初始章節有助於概述神經健康公平的整體問題。隨後的章節從臨床實踐的角度評估神經健康公平，重點關注特定人群和次專科護理提供場所。最後，我們討論了從培訓醫生到政策制定者的更大圖景。

本書適用於神經學住院醫師和研究員、多學科神經護理提供者（神經學家、神經外科醫生、高級實踐提供者、住院醫師、急診醫師、重症監護醫師、藥師和聯合健康人員）以及公共衛生研究人員和衛生政策制定者。

本書分為三個部分：原則、神經疾病和優先事項。第一部分建立了框架，解釋了支撐對弱勢和未得到服務的患者群體護理的各種關鍵術語和概念。第二部分，神經疾病，按次專科描述了關鍵神經疾病，描述了護理和結果的不平等，知識上的差距，以及在提供者和系統層面上彌合這些差距的實用技術。第三部分，優先事項，確定了重要的關注和改進領域，針對實施持續的社會層面改進這些弱勢人群神經健康的培訓生、研究人員、社區合作夥伴、利益相關組織和政策制定者至關重要。

作者簡介

Bruce Ovbiagele, MD MSc MAS MBA MLS: Professor of Neurology; Associate Dean; University of California, San Francisco;

Sharon Lewis, MD: Associate Professor of Neurology; Assistant Dean for Diversity Recruitment; University of Pennsylvania;

Daniel José Correa, MD MSc: Assistant Professor of Neurology; Associate Dean for Diversity Enhancement; Albert Einstein College of Medicine; Montefiore Health System;

Reena Thomas, MD PhD: Associate Professor of Neurology; Associate Dean for Diversity In Medical Education, Stanford University;

Larry Charleston IV, MD, MSc.: Professor of Neurology; Director, Headache Medicine and Facial Pain; Director, Department Faculty Development Department of Neurology and Ophthalmology; Michigan State University College of Human Medicine

作者簡介(中文翻譯)

Bruce Ovbiagele, MD MSc MAS MBA MLS: 神經學教授; 副院長; 加州大學舊金山分校;
Sharon Lewis, MD: 神經學副教授; 多元招生助理院長; 賓夕法尼亞大學;
Daniel José Correa, MD MSc: 神經學助理教授; 多元增進副院長; 阿爾伯特·愛因斯坦醫學院; Montefiore健康系統;
Reena Thomas, MD PhD: 神經學副教授; 多元醫學教育副院長; 史丹佛大學;
Larry Charleston IV, MD, MSc.: 神經學教授; 頭痛醫學和面部疼痛主任; 神經學和眼科學系發展部主任; 密歇根州立大學人類醫學學院

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