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No study assessed outcomes among disadvantaged patient groups.
This poses a problem in creating new evidence applicable to the disadvantaged patient groups.
Thus, systematic reviews currently provide very little data applicable to the disadvantaged patient groups [ 21].
The clinical guidelines do not usually consider the disadvantaged patient groups when assessing effectiveness or safety of interventions [ 23].
The CONSORT guideline for reporting randomized controlled trials does not include an item on disadvantaged patient groups [ 19].
Some evidence indicates that effectiveness and cost-effectiveness of interventions may be high among the disadvantaged patient groups.
Similar(48)
Adequate accessibility to and availability of treatment in the disadvantaged patient group with schizophrenia are in doubt, since inequalities in healthcare provision for people with schizophrenia have been documented.
Inequality in health care is defined in this article as inferior access to or inferior quality (diagnostic and treatment procedures) of services shown effective (in randomised controlled trials or based on wide consensus among experts – e.g. total hip or knee replacement) among people belonging to some disadvantaged patient group.
Optimally the benchmarking would be accompanied by scientific research on access, quality, costs and effectiveness of services for all patient groups including the disadvantaged.
The regressive nature of GP copayments is reduced when concessional and child patients are exempted entirely, highlighting the importance of supporting GPs particularly in disadvantaged areas to maintain bulk-billing arrangements for vulnerable patient groups.
Except for such rare cases, there seems to be a gap in medical education concerning the use of photovoice as a tool to foster medical residents' awareness of discrimination of certain patient groups, such as immigrants or socioeconomically disadvantaged persons.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com