健康公平:一个概念分析
Chrystal L Lewis1, Alice Yan1, Michelle Y Williams2
1Department of Research and Health Equity, Stanford Health Care, Menlo Park, CA.
实现健康公平需要解决其根本原因,包括环境,经济和社会因素. 了解这些先例是消除不公平的健康差异和促进所有人的平等机会的关键.
科学领域:
- 护理研究 护理研究
- 卫生政策 卫生政策
- 健康的社会决定因素
背景情况:
- 健康公平对于有效的医疗保健提供至关重要,但缺乏一致的定义.
- 不一致的定义阻碍了在实践和政策中推进健康公平.
研究的目的:
- 发展对健康公平的全面理解.
- 引导护理实践,并为医疗保健政策制定提供信息.
主要方法:
- 使用了沃克和阿万特的概念分析方法.
- 建立了健康公平的定义属性,先例,后果和经验参考.
主要成果:
- 卫生公平是由伦理原则,不存在不公平的差异和健康的公平机会来定义的.
- 前例包括环境,金融,政策,社会,研究和技术因素.
结论:
- 卫生公平先例区分差异与个人偏好结果.
- 对于旨在实现健康公平的组织来说,解决这些先例至关重要.
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