Achieving Equity in Neurological Practice: Principles and Pathways
暫譯: 實現神經學實踐中的公平：原則與途徑
Ovbiagele, Bruce, Lewis, Sharon, Correa, Daniel Jose
- 出版商: Springer
- 出版日期: 2024-10-23
- 售價: $5,200
- 貴賓價: 9.5 折 $4,940
- 語言: 英文
- 頁數: 461
- 裝訂: Hardcover - also called cloth, retail trade, or trade
- ISBN: 3031627261
- ISBN-13: 9783031627262
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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)
近期喬治·佛洛伊德（George Floyd）及其他非裔美國人高調謀殺事件，加上持續的冠狀病毒疾病（COVID-19）疫情，強化了某些邊緣化族群的健康結果比其他族群更差的觀念，這可能是由於不平等和不公正的政策與做法所致。
神經系統的過程和預後常常因性別、種族/族裔、社會經濟地位和地理位置而異。特別是，社會經濟地位較低以及來自少數族裔背景的個體，神經健康狀況較差，且通常接受的神經醫療標準較低。這些神經結果的不平等被歸因於更廣泛的社會影響，這些影響影響人們的生活方式以及神經學的實踐。
已發表的證據表明，醫療提供者和醫療系統對於脆弱和服務不足族群的神經醫療不平等有所貢獻。然而，對神經醫療提供者進行這些問題的教育並培訓他們為這些患者提供公平的醫療，可能會改善神經醫療的可及性、交付和結果。
在本書中，我們提供了理論背景、科學證據和經驗知識，以適當照顧脆弱和服務不足的神經疾病患者，涵蓋提供者和系統層面。本書探討了神經健康不平等的根本原因，涵蓋廣泛的主題，並提供實現神經健康公平的可能解決方案。初始章節幫助框定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，重點關注特定族群和子專科醫療交付環境。最後，我們討論了有關從業者的管道和政策制定者的範疇的更大圖景。
本書對神經科住院醫師和研究員、多學科神經醫療提供者（神經科醫生、神經外科醫生、高級實踐提供者、住院醫生、急診醫生、重症醫生、藥劑師及相關健康人員）以及公共衛生研究人員和健康政策制定者具有相關性。
本書分為三個部分：原則、神經疾病和優先事項。第一部分建立框架並解釋各種關鍵術語和概念，這些術語和概念支撐著對脆弱和服務不足患者群體的照護。第二部分，神經疾病，涵蓋了按子專科分類的關鍵神經疾病，描述了已發表的醫療和結果差異的證據、知識的缺口以及在提供者和系統層面上彌補這些差異的實用技術。第三部分，優先事項，確定了針對受訓者、研究人員、社區夥伴、利益相關者組織和政策制定者的重要關注和改進領域，這對於在這些脆弱族群的神經健康上實施持續的社會層面改善至關重要。
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)
布魯斯·奧比亞吉爾（Bruce Ovbiagele），醫學博士、碩士、碩士、工商管理碩士、圖書館學碩士：神經學教授；副院長；加州大學舊金山分校；
莎朗·劉易斯（Sharon Lewis），醫學博士：神經學副教授；多樣性招聘助理院長；賓夕法尼亞大學；
丹尼爾·荷西·科雷亞（Daniel José Correa），醫學博士、碩士：神經學助理教授；多樣性增強副院長；艾爾伯特·愛因斯坦醫學院；蒙特菲奧爾健康系統；
瑞娜·托馬斯（Reena Thomas），醫學博士、哲學博士：神經學副教授；醫學教育多樣性副院長；史丹佛大學；
拉里·查爾斯頓四世（Larry Charleston IV），醫學博士、碩士：神經學教授；頭痛醫學與面部疼痛主任；神經學與眼科系的系主任；密西根州立大學人類醫學學院。
