在儿科实践中追求儿童健康平等的框架
Robert S Kahn1, Tina L Cheng2, Monica J Mitchell3
1University of Cincinnati, Michael Fisher Child Health Equity Center, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3026, USA.
Pediatric clinics of North America
|July 8, 2023
概括
实现儿童健康公平需要从平等的护理转向公平的结果. 这涉及了解不平等领域,障碍和干预类型,以改善儿科实践.
科学领域:
- 儿科健康 儿科健康
- 健康 公平 研究 健康 公平 研究
- 公共卫生实践 公共卫生实践
背景情况:
- 目前的儿科实践往往侧重于提供平等的护理,这可能无法为所有儿童实现公平的健康结果.
- 儿童健康方面的差异仍然存在,需要重新评估护理方法.
- 解决健康不平等现有的框架是不一致的,需要整合.
研究的目的:
- 概述儿科实践中必要的转变,以确保儿童获得公平的健康成果.
- 综合不同的框架来引导从平等的护理到公平的结果的过渡.
- 提供对儿童健康不平等的全面了解.
主要方法:
- 整合了几种不同的理论框架.
- 描述不同领域的儿童健康不平等的表现.
- 发展导致健康不平等的障碍物类型学.
- 根据干预的位置 (下游,中游,上游) 进行干预的描述.
主要成果:
- 确定了受不平等影响的儿童健康的不同领域.
- 强调了平等的护理服务在实现公平结果方面存在的局限性.
- 分类障碍驱动健康不平等到一个连贯的类型.
- 将干预分为下游,中游和上游方法.
结论:
- 从平等的护理转向公平的结果对于儿科实践至关重要.
- 了解领域,障碍和干预类型对于促进儿童健康公平至关重要.
- 综合框架为实施公平儿科护理提供了路线图.
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