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Percepciones de los hospitalistas sobre la equidad en salud en el entorno hospitalario: un estudio mixto
Elizabeth Le1,2, Areeba Kara3, Amelita Woodruff4
1Medical Service, Veterans Affairs Palo Alto Healthcare System, Palo Alto, California, USA.
Journal of hospital medicine
|December 30, 2025
Resumen
Avanzar en la equidad en salud en los hospitales requiere definiciones claras y apoyo organizacional constante. Los hospitalistas enfrentan una carga emocional debido a las inequidades en salud, lo que resalta la necesidad de mejores estrategias para pacientes hospitalizados.
Área de la Ciencia:
- Investigación en Servicios de Salud
- Estudios de Equidad en Salud
- Medicina Hospitalaria
Sus antecedentes:
- La equidad en salud es crucial para la prestación de atención médica de alta calidad.
- Los entornos ambulatorios han establecido métricas de equidad en salud, a diferencia de los entornos hospitalarios.
- Las iniciativas de equidad en salud para pacientes hospitalizados requieren un desarrollo enfocado.
Objetivo del estudio:
- Explorar las opiniones de los hospitalistas de primera línea sobre la equidad en salud en la atención al paciente hospitalizado.
- Comprender los enfoques actuales y la medición de la equidad en salud en los hospitales.
- Identificar los desafíos y las oportunidades para la equidad en salud de los pacientes hospitalizados.
Principales métodos:
- Estudio mixto incrustado que utiliza grupos focales semiestructurados y encuestas.
- Participó una colaboración nacional de grupos de medicina hospitalaria.
- Análisis cualitativo rápido (resúmenes con plantilla, análisis de matrices) con enfoques inductivos y deductivos.
Principales resultados:
- Falta de consenso sobre la definición y el alcance de la equidad en salud para pacientes hospitalizados.
- Soporte y recursos organizacionales variables para la equidad en salud de pacientes hospitalizados.
- Impacto emocional significativo en los hospitalistas debido a las inequidades en salud.
Conclusiones:
- Se necesitan definiciones y un alcance claros para avanzar en la equidad en salud de los pacientes hospitalizados.
- El amplio apoyo organizacional es esencial para una implementación exitosa.
- Es vital reconocer el impacto emocional en los hospitalistas para lograr avances.
Palabras clave:
equidad en saludatención al paciente hospitalizadoinvestigación en servicios de saludmedicina hospitalariapercepciones de los médicosMás Videos Relacionados
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