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健康システムにおけるジェンダーの規範の破壊:変化を主張する
Katherine Hay1, Lotus McDougal2, Valerie Percival3
1Bill & Melinda Gates Foundation, Seattle, WA, USA.
Lancet (London, England)
|June 4, 2019
まとめ
医療制度はしばしばジェンダーの不平等を強め 健康への影響を及ぼします 制限的なジェンダー規範に対処し,ジェンダー平等を促進することは,普遍的な健康保険と持続可能な開発目標の達成に不可欠です.
科学分野:
- 公衆衛生
- 社会学
- ジェンダー研究
背景:
- 健康制度はジェンダーに関する制限的な規範と不平等を永続化させ 健康上の成果の格差につながります
- 既存の医療システムモデルやプログラムは ジェンダーに配慮していないことが多いのです
- 保健医療従事者としての権限の低下や 評価の低下など 保健医療制度において女性が直面する課題です
研究 の 目的:
- 保健システムにおけるジェンダーの規範と不平等に対処する方法を探求する.
- 健康におけるジェンダーの平等を達成するための破壊的な解決策を特定する.
- ユニバーサル・ヘルス・カバーと持続可能な開発目標のための戦略を策定する.
主な方法:
- 交差点のフェミニスト理論は体系的なレビューを導いた.
- 定性的なケーススタディは実体験を利用した.
- 定量的な分析には,横断的および評価研究が含まれていました.
主要な成果:
- ジェンダー平等政策は 女性の医師が増え 医療成果が向上するとも相関していますが 平等だけでは不十分です
- 看護師に対する制度的支援は 医療の質を高めます
- 女性のエンパワーメントイニシアチブにより 医療へのアクセスと 医療提供者の対応が向上します
- 社会運動は生殖権の進歩に 期待を示しています
結論:
- 性別は医療制度と成果を決定する 根本的な要素です
- 保健システム内外のジェンダーの規範と不平等に対処することは,グローバルな保健目標の達成に不可欠です.
- ジェンダー規範と不平等に関する体系的な識別と介入が提案されています.
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