说和做是不同的东西:在考虑医疗保健系统绩效时,对健康公平如何被概念化进行范围审查
Nakia K Lee-Foon1, Victoria Haldane2, Adalsteinn Brown3,2
1Dalla Lana School of Public Health, University of Toronto, 155 College Street, 6th Floor, Toronto, ON, M5T 3M7, Canada. n.lee.foon@mail.utoronto.ca.
医疗保健绩效框架通常包括公平,但测量它仍然具有挑战性. 这次审查发现很少有研究,突出了在医疗保健系统评估中概念化和应用公平性方面的困难.
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
- 医疗保健绩效测量方法 医疗保健绩效测量方法
背景情况:
- 公平,高质量的医疗保健对于用户的健康和福祉至关重要.
- 医疗保健系统使用绩效框架和指标来监测和改善护理.
- 股权在这些测量中被整合的程度往往不清楚.
研究的目的:
- 要回答:"在评估医疗保健系统绩效时,医疗保健系统中的公平是如何概念化的?"
- 解决医疗保健绩效框架内衡量公平性的不确定性.
主要方法:
- 使用Levac的方法进行范围审查.
- 搜索在线数据库 (MEDLINE,CINAHL Plus) 的同行评审文章 (2015-2020年).
- 不包括口腔健康和临床医师培训的研究.
主要成果:
- 确定了8655篇文章,其中16篇被选中进行全面审查.
- 来自北美,欧洲,非洲,澳大利亚,中国和印度的文章.
- 研究重点是指标,公平政策,评估工具和社会人口统计特征.
结论:
- 相关文章的稀缺性表明,衡量医疗保健公平性存在挑战.
- 对股权的各种概念化阻碍了对绩效框架的比较分析.
- 框架需要将重点从用户的社会决定因素转移到医疗保健系统本身.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
相关概念视频
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Concepts of Health and Illness
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
