Ageism in cardiology
Ageism in cardiology
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DOI：
10.1136/bmj.319.7221.1353
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发表时间：
1999-11-20
影响因子：
--
通讯作者：
Bowling, A
中科院分区：
文献类型：
--
作者：
Bowling, A
人口老龄化是卫生服务面临的主要挑战之一。越来越多的老年人可能会对保健服务提出越来越多的要求，以便获得有效的保健技术，从而提高生活质量，而不仅仅是数量。有一些证据表明，年龄已被用作分配卫生保健3和邀请参加筛查计划的标准。[4]然而，患者的年龄可以作为确定优先次序的明确依据的想法很少得到承认。5心血管疾病是老年人死亡和残疾的常见原因，使用适当的保健技术进行诊断和治疗费用昂贵。尽管老年人围手术期死亡率和发病率的风险略高，但如果选择得当，他们可能会从心脏病干预中获得实质性的健康益处。具有讽刺意味的是，尽管心脏外科医生越来越多地对75岁及以上的人进行手术，但欧洲和美国的分析表明，心脏病学存在年龄偏见。这里提出的论点，即在医疗保健中存在的年龄歧视，使用的心脏病服务的公平性的研究。
The ageing of the population is one of the major challenges facing health services. The growing number of older people is likely to place increasing demands on health services for access to effective health technology in cases in which this can enhance the quality, not just the quantity, of life. There is some evidence that age has been used as a criterion in allocating health care3 and in inviting participation in screening programmes. 4 However, the idea that a patient’s age may be used as an explicit basis for priority setting has rarely been acknowledged. 5Cardiovascular diseases are a common cause of death and disability among older people, and the use of appropriate health technologies for diagnosis and treatment is expensive. Despite the slightly higher risks of perioperative mortality and morbidity in older people, if they are selected appropriately they are likely to gain substantial health benefits from cardiological interventions. 1 6 7 Ironically, although cardiac surgeons are increasingly operating on people aged 75 and older, analyses in Europe and the United States which examined both the rates and types of interventions used indicate that age biases exist in cardiology. The argument presented here—that ageism exists in health care—uses research on the equity of access to cardiological services.