针对结构性种族主义的卫生系统框架:大众将军布里格姆联合反对种族主义倡议
Allison S Bryant1,2, Julia A Healey2, Sarah Wilkie1
1Mass General Brigham Health System, Somerville, Massachusetts, USA.
Health equity
|September 22, 2023
概括
解决医疗保健中的种族主义问题需要进行结构性变革. 一个以领导力,患者护理和社区倡导为重点的反种族主义运动被实施,以改善所有人的健康结果.
科学领域:
- 卫生公平研究 卫生公平研究
- 公共卫生政策 公共卫生政策
- 医疗保健系统转型 医疗保健系统转型
背景情况:
- 系统性种族主义和不平等对医疗保健和患者的结果产生重大影响.
- 为所有人实现最佳健康需要基于证据的,可衡量的卫生系统内部的结构变化.
研究的目的:
- 描述一个在一个大型综合卫生系统中实施的反种族主义运动.
- 为改善健康公平提供数据驱动的战略和指标.
主要方法:
- 一个围绕三个支柱构建的反种族主义运动:领导力/员工/文化,患者护理公平,社区健康和政策倡导.
- 在大众医院布里格姆 (Mass General Brigham) 实施,这是一个主要的综合卫生系统.
- 开发数据驱动的重点领域,程序和指标.
主要成果:
- 计划的例子包括员工教育,社会风险减轻和创新的临床服务模式.
- 这些指标是为医疗保健工作人员,患者和周围社区开发的.
- 该运动针对健康公平的基础目标和志向目标.
结论:
- 结构性变化对于卫生系统来说至关重要,以解决种族主义遗产.
- 一个多支柱的反种族主义运动可以推动健康公平的有意义的进步.
- 数据驱动的方法和社区参与是成功实施的关键.
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