Home Health Care to Asian Americans: a Systematic Review.
Home Health Care to Asian Americans: a Systematic Review.
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对亚裔美国人的家庭保健：系统评价。
DOI：
10.1007/s40615-023-01568-8
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发表时间：
2024-04
影响因子：
3.9
通讯作者：
Bao, Silin
中科院分区：
文献类型：
--
作者：
Ma, Chenjuan;Rajewski, Martha;Bao, Silin
尽管亚裔美国人是美国增长最快的少数族裔群体，但他们是研究最少的群体之一，特别是在家庭和社区服务环境中。本研究的目的是回顾和综合现有的证据，亚裔美国人的访问，利用和结果的家庭保健。这是一项系统性综述研究。在PubMed和CINAHL以及手动检索中进行了全面的文献检索。每项研究都由至少两名独立的审查员进行筛选、审查和质量评估。12篇文章被确定为合格并纳入审查。亚裔美国人住院后不太可能出院到家庭医疗保健。在接受家庭医疗保健时，亚裔美国人的不当用药问题发生率较高（28%），与白色美国人相比，他们的功能状态也较差。亚裔美国人在家庭医疗护理结束时的功能状态改善较少;然而，亚裔美国人利用正规/熟练家庭医疗护理的证据存在一些不一致。质量评价表明，一些研究的结果受到样本量小、单一地点/家庭卫生机构、分析方法和其他方法学限制的限制。亚裔美国人在家庭医疗服务的获得、利用和结果方面经常遇到不平等。多层次因素，包括结构性种族主义，都可能造成这种不平等。需要使用基于人口的数据和先进的方法进行强有力的研究，以更好地了解亚裔美国人的家庭医疗保健。
Despite being the fastest growing minority group in the USA, Asian Americans are among the least studied ones, particularly in the home and community-based services settings. This study aimed to review and synthesize extant evidence on Asian American’s access, utilization, and outcomes of home health care. This is a systematic review study. A comprehensive literature search was conducted in PubMed and CINAHL as well as hand search. Each study was screened, reviewed, and evaluated for quality by at least two reviewers independently. Twelve articles were determined eligible and included for review. Asian Americans were less likely to be discharged to home health care following hospitalization. At admission to home health care, Asian Americans had a high rate of inappropriate medication issues (28%) and they also had poorer functional status compared to White Americans. Asian Americans were also reported with less improvement in functional status at the end of home health care; however, there were some inconsistencies in the evidence on Asian Americans’ utilization of formal/skilled home health care. Quality evaluation indicated that findings from some studies were limited by small sample size, single site/home health agency, analytic approaches, and other methodologic limitations. Asian Americans often experience inequities in home health care access, utilization, and outcomes. Multilevel factors may contribute to such inequities, including structural racism. Robust research using population-based data and advanced methodology is needed to better understand home health care to Asian Americans.