路线图将健康公平研究嵌入到学习健康系统中
Antoinette Schoenthaler1, Fritz Francois2, Ilseung Cho2
1Institute for Excellence in Health Equity, NYU Langone Health, New York, New York, USA antoinette.schoenthaler@nyulangone.org.
BMJ leader
|June 16, 2023
概括
实现健康公平需要一种超越劳动力多样性的整体方法. 纽约大学兰贡健康发展了一个健康公平研究路线图,以系统地识别和解决患者护理,教育和研究中的不平等问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生公平研究 卫生公平研究
- 学术医学 学术医学
背景情况:
- 卫生公平对于医疗保健系统的最佳表现至关重要,与四重目标保持一致.
- 传统的方法专注于劳动力的多样性,但需要一个整体的战略.
- 学术医疗中心必须在临床护理,教育,研究和社区参与中巩固健康公平.
研究的目的:
- 概述在纽约大学兰贡健康 (NYULH) 实施的健康公平研究路线图.
- 展示实用性研究如何将健康公平纳入学术医疗系统.
- 为其他寻求推进健康公平的机构提供榜样.
主要方法:
- 纽约大学建立了一个健康公平研究路线图,作为嵌入式实用研究的框架.
- 路线图指导了针对和消除医疗保健提供系统内的健康不平等的努力.
- 这种方法将健康公平纳入患者护理,医学教育和研究.
主要成果:
- 纽约大学的路线图包括六个关键要素.
- 这些要素包括收集分类数据,识别公平差距,设定质量改进目标,调查根本原因,开发基于证据的解决方案和持续监测.
- 路线图提供了一个结构化,数据驱动的方法来解决健康不平等问题.
结论:
- NYULH路线图的元素为学术医疗中心提供了一个实用的模型.
- 这种模式促进了实用性研究的使用,以嵌入健康公平的文化.
- 实施这样的路线图可以推动健康公平的系统性改进.
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