解决预防性服务中的种族主义问题:支持美国预防性服务工作组的方法报告
Jennifer S Lin1, Lynn Hoffman2, Sarah I Bean1
1Kaiser Permanente Evidence-based Practice Center, Center for Health Research, Kaiser Permanente, Portland, Oregon.
美国预防服务工作组 (USPSTF) 正在解决种族主义和健康公平问题. 虽然存在差异,但明显的种族主义和可行的指导仍然在发展,早期的工作显示出希望.
科学领域:
- 公共卫生政策
- 医疗公平研究
- 临床预防服务
背景情况:
- 美国预防服务工作组 (USPSTF) 承认系统性种族主义,并承诺在2021年1月解决临床预防服务中的健康公平问题.
- 种族主义是一个复杂的社会结构, 具有深刻的生物学后果, 通过多种途径和社会决定因素影响健康.
研究的目的:
- 定义和概念化种族主义和健康不平等.
- 评估目前在预防性卫生服务中如何解决种族主义和健康不平等问题.
主要方法:
- 对文献,USPSTF报告,干预措施的系统审查和专业组织进行了审计.
- 审计重点是确定与解决种族主义和健康平等有关的框架,政策和操作指导.
主要成果:
- 美国公务员特种部队的报告涉及种族差异,但未明确涉及种族主义.
- 系统审查支持针对差异的干预措施,但并不总是明确针对种族主义或更广泛的实施策略.
- 许多组织已经承诺解决种族主义问题, 但实质性的操作指导是有限的, 处于早期阶段.
结论:
- 这份方法报告总结了围绕种族主义和健康不平等的关键问题.
- 它概述了在预防健康方面解决这些关键问题的现状.
- 调查结果强调需要进一步制定可行的战略和指导方针.
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