通过一般实践减少健康不平等
Anna Gkiouleka1, Geoff Wong2, Sarah Sowden3
1Department of Public Health and Primary Care, Cambridge, UK.
The Lancet. Public health
|May 27, 2023
概括
一般实践可以通过采用五个关键原则来减少健康不平等:连接,交叉,灵活,包容和以社区为中心的方法. 需要进一步的研究来将这些原则纳入实践开发中.
科学领域:
- 公共卫生 公共卫生
- 一般的做法一般的做法
- 健康 公平 研究 健康 公平 研究
背景情况:
- 一般实践在减少健康不平等方面发挥着作用,但基于证据的指导是有限的.
- 现有的研究对在初级保健机构内减少健康不平等的有效策略提供了不足的指导.
研究的目的:
- 在一般实践中审查旨在减少健康和护理不平等的干预措施.
- 根据综合证据,为卫生专业人员和政策制定者制定一个可行的框架.
主要方法:
- 采用了一个现实主义的审查方法,搜索多个数据库 (MEDLINE,Embase,CINAHL,PsycINFO,科学网,Cochrane图书馆).
- 对针对一般实践中的健康不平等的干预措施进行了系统审查.
- 报告结果根据社会经济地位或PROGRESS-Plus类别的研究被纳入证据综合 (159项研究).
主要成果:
- 强有力的证据证明一般做法对健康不平等的影响很少.
- 为了减少健康不平等,出现了五个关键原则:连接,交叉,灵活,包容和以社区为中心.
- 这些原则侧重于协调服务,考虑患者多样性,适应需求,整合文化观点和社区参与.
结论:
- 一般实践要求采用五个核心原则的战略方法,有效减少健康不平等.
- 未来的研究应该调查这些原则在一般实践的组织发展中的实际实施.
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