医療システムをより公平なものにする
Davidson R Gwatkin1, Abbas Bhuiya, Cesar G Victora
1dgwatkin@comcast.net
Lancet (London, England)
|October 7, 2004
まとめ
医療制度はしばしば貧困層を無視し,健康格差を拡大している. ターゲットを絞った介入と恵まれないコミュニティのエンパワーメントは,すべての人にとってより公平な医療へのアクセスを生み出すことができます.
科学分野:
- 医療サービス 研究 医療サービス
- 公共衛生政策 公共衛生政策
- 健康の公平性に関する研究 健康の公平性に関する研究
背景:
- 世界的に見ると,医療制度は不平等が持続しており,富裕層は不均衡に恩恵を受け,貧困層は不利にされています.
- これらの格差は,脆弱なグループに対する医療へのアクセスを改善するための意図的な戦略がなければ,持続する可能性が高い.
研究 の 目的:
- 医療システム内の健康上の不平等を軽減するための実行可能な戦略を特定し,提案する.
- 恵まれない人々に対する医療の提供と質の改善に重点を置くべきだと主張する.
主な方法:
- この研究は,既存の文献をレビューし,公平な保健システム設計のための枠組みを提案しています.
- それは,貧困層のための目標設定,ターゲットを絞った介入,コミュニティのエンパワーメントを強調しています.
主要な成果:
- 貧困層の特定カバー目標の設定は,計画的な取り組みの方向転換につながります.
- 検証済みの,文脈特有の介入の実施は,恵まれない人々へのサービス提供を強化することができます.
- 保健システム設計における疎外されたコミュニティのエンパワーメントは,より大きな公平性と応答性を促進します.
結論:
- 健康上の不平等に対処するには,貧困層のニーズに焦点を当てた積極的なアプローチが必要です.
- 恵まれない集団のエンパワーメントと,ターゲットに絞られた戦略は,公平な医療の実現に不可欠です.
- 保健システムは,すべての集団により効果的で公平なサービスを提供するために再構築することができます.
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