在美国四大城市制定和实施种族健康公平计划:一项定性研究
Yvette Castaneda1, Jacquelyn Jacobs, Helen Margellos-Anast
1Sinai Urban Health Institute, Chicago, Illinois (Drs Castaneda and Benjamins and Mss Jacobs and Nunez-Montelongo); American Medical Association, Chicago, Illinois (Dr De Maio); DePaul University, Chicago, Illinois (Dr De Maio); and Rosalind Franklin University, North Chicago, Illinois (Mr Mettetal).
当地卫生部门对于种族健康平等至关重要. 研究表明灵活性,多学科团队和社区合作是关键,但需要更多的工作来解决健康不平等的根本原因.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 城市卫生倡议 城市卫生倡议
背景情况:
- 地方卫生部门 (LHDs) 对于推进种族健康平等至关重要.
- 卫生结果的不平等性在不同的地方环境中有很大差异.
- 了解LHD的策略对于进步至关重要.
研究的目的:
- 检查美国四个主要城市的健康公平计划的制定和实施情况.
- 确定影响LHD股权倡议有效性的因素.
- 为实现健康公平的未来战略提供信息.
主要方法:
- 质量研究涉及15个半结构面试与21个利益相关者.
- 参与者包括LHD,学术机构,卫生系统和社区组织.
- 使用专题分析来确定关键主题.
主要成果:
- 组织在为股权分配资源方面表现出灵活性.
- 多学科团队和社区合作对于成功至关重要.
- 种族主义,结构性不平等和健康结果之间存在直接联系.
- 低发达人优先考虑股权计划,但解决根本原因需要进一步努力.
结论:
- 卫生部门正在制定以公平为重点的计划,但实施情况各不相同.
- 这项研究为全国各地的倡导者提供了对城市健康公平策略的见解.
- 需要持续关注结构性变化和政策,才能实现有意义的健康公平.
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