提出一种意识到种族主义的政策制定和医疗保健实践方法
Shekinah A Fashaw-Walters1, Cydney M McGuire2
1Shekinah A. Fashaw-Walters (safw@umn.edu), University of Minnesota, Minneapolis, Minnesota.
Health affairs (Project Hope)
|October 2, 2023
概括
在政策中解决种族主义问题对于推进健康公平至关重要. 一种意识到种族主义的方法,专注于社区参与和政策评估,提供了一种可行的策略,以减少种族和民族健康差异.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 健康 公平 卫生 公平
背景情况:
- 种族和民族健康不平等源于复杂的社会和政治因素.
- 种族中立政策可以通过忽视系统性种族主义来延续差异.
- 基于种族的政策虽然旨在改善特定群体的结果,但经常面临政治挑战.
研究的目的:
- 为政策制定和医疗保健实践提出一个意识到种族主义的框架.
- 解决种族中立和基于种族的政策方法的局限性.
- 通过明确对抗种族主义,促进健康公平.
主要方法:
- 利用后急性和长期护理政策作为一个案例研究.
- 确定为创造具有种族主义意识的政策的五个关键步骤.
- 强调持续的社区参与和政策评估.
主要成果:
- 提出了一项针对种族主义意识的政策制定和重新设计框架.
- 该框架适用于各种政策层面 (联邦,州,地方) 和组织实践.
- 该方法依赖于持续的社区参与和代的政策评估.
结论:
- 意识到种族主义的方法为种族中立或基于种族的政策提供了一个可行的替代方案.
- 这一框架可以在制定新的或修改现有的卫生政策方面发挥重要作用.
- 拟议的模式通过直接解决种族主义的影响,促进健康公平.
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