为公平和基于证据的创新进行改进研究:"IM-SEEN"模型的概述
Luke N Allen1, Oathokwa Nkomazana2, Sailesh Kumar Mishra3
1London School of Hygiene & Tropical Medicine (LSHTM), Keppel St, London, WC1E 7HT, UK. Luke.allen@lshtm.ac.uk.
International journal for equity in health
|June 17, 2023
概括
卫生系统必须优先考虑公平,以避免加剧差距. 该模型整合了数据收集,用户参与和试验,以确保在服务扩展期间不让弱势群体落后.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 在全球范围内,健康不平等是普遍存在的.
- 如果没有以股权为重点的战略,扩大服务覆盖面可能会加剧这些不平等.
- 弱势群体在获得基本服务方面经常面临重大障碍.
研究的目的:
- 提出一种新的以股权为中心的持续改进模式.
- 为了使弱势群体的优先考虑与服务覆盖范围的扩大相协调.
- 为了提供一个框架,在医疗服务提供中实现公平.
主要方法:
- 定期收集社会人口统计数据以识别服务不足的人口.
- 与服务用户接触,以了解障碍,并共同设计解决方案.
- 采用务实,嵌入式试验来严格测试拟议的解决方案.
- 将这些步骤整合到持续改进周期中.
主要成果:
- 该论文概述了以股权为中心的模型的逻辑和结构.
- 它详细介绍了模型如何整合数据,参与和测试.
- 讨论了各种服务交付设置中的潜在应用.
结论:
- 有一个显著的需要实用方法来运行健康公平.
- 开发的模型为项目经理提供了一种系统的方法,让他们专注于落后群体.
- 这个框架可以适应任何服务提供环境,以将公平融入常规实践中.
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