Extract
In this issue of theEuropean Respiratory Journal, HÅkanssonet al.[1] describe the existence of inequalities affecting asthma care in the Danish healthcare system, demonstrating the persistence of the inverse care law of health first described by Hart[2] 50 years ago. This states that resources and opportunities to receive care are concentrated most in those areas that need them least. Their findings are striking because of the widespread perceptions that Scandinavian-style tax and spend systems generate high investment in social support, healthcare and wellbeing, and yet significant health inequalities still exist here. Whilst increasing levels of disease severity should prompt more referrals to specialist care, HÅkanssonet al.[1] show that referral for expert asthma support still happens far too infrequently, and that the chances of referral are affected by four main domains of age, gender, employment status and educational attainment, as well as proximity to major centres of care, confirming that even when financial barriers to care are minimised, inverse care persists [3].
Abstract
社会经济因素在诊断和评估哮喘和偏见转诊至专业护理时也很重要https://bit.ly/2uvznpz
脚注
Conflict of interest: D. Ryan reports personal fees for educational activities from AZ, Chiesi, Sanofi-Regeneron and Viatris, and personal fees for advisory boards from Novartis, GSK and Trudell, outside the submitted work; and is a Member of the board of the Primary Care group, EAACI and Vice president of the Respiratory Effectiveness Group.
利益冲突:I。Sabroe是由阿斯利康资助的哮喘研究研究的共同申请人;GSK年度向I. Sabroe的机构付款,作为不受限制的教育赠款,以支持提交工作之外的临床教育会议。
- 已收到June 29, 2021.
- AcceptedJuly 2, 2021.
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