改变美国预防服务工作组在临床预防服务中缓解系统性种族主义的行动
, Karina W Davidson1, Carol M Mangione2
1Feinstein Institutes for Medical Research at Northwell Health, New York, New York.
JAMA
|November 8, 2021
概括
美国预防服务工作组 (USPSTF) 正在更新其方法,以解决系统性种族主义问题,并减少对所有人群的预防性护理建议中的健康不平等.
科学领域:
- 公共卫生
- 医疗服务研究
- 医疗公平
背景情况:
- 美国可预防疾病的预期寿命和健康结果对遭受种族歧视的人群产生了不成比例的影响.
- 系统性种族主义导致美国的健康差异和不平等.
研究的目的:
- 建议对美国预防服务工作组 (USPSTF) 的流程,方法和建议进行代变更.
- 致力于消除受系统种族主义影响的个人健康不平等.
主要方法:
- 一份委托的方法报告进行了,以告知USPSTF方法的建议更新.
- 拟议的变化将在选定的USPSTF主题上与合作伙伴和公众进行试点.
主要成果:
- 美国公共卫生服务委员会将在其审查和建议中纳入有关系统性种族主义和健康不平等的证据.
- 目前正在制定策略,以减轻系统性种族主义对预防性护理指南的影响.
结论:
- 美国公共卫生部队正在实施改变以减少系统性种族主义造成的健康不平等.
- 基于证据的推开发的代改进旨在解决健康结果中的种族差异.
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