走向医疗保健获取新兴模式:一个理论框架
1College of Nursing, University of Tennessee, Knoxville, Tennessee, USA.
International nursing review
|October 2, 2023
概括
这项研究提出了一个新的医疗保健接入模式,用于外国出生的个人,整合社会正义和健康公平原则. 它旨在通过指导利益相关者在政策和实践中减少健康差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 健康 公平 卫生 公平
背景情况:
- COVID-19加剧了健康差距,特别是在有色人种中.
- 审查了影响外国出生的个人获得医疗保健的健康和移民政策.
- 之前的政策,如"负担得起的医疗法案" (ACA),对某些群体有限制.
研究的目的:
- 构想一个新兴的医疗保健接入框架,用于外国出生的人.
- 基于美国已建立的医疗保健准入模式.
- 将社会正义和健康公平纳入获取理论化.
主要方法:
- 对Penchansky和安德森的医疗保健准入模型 (1968-2022) 的系统文献综述.
- 搜索的数据库:Scopus,PubMed,科学网,CINAHL. 这些数据库中的一个是:
- 比较和分析了访问模型构造的演变.
主要成果:
- 潘钱斯基的模型有五个构造;安德森的有三个.
- 现有的模型提供了独特的政策评估方法,但往往被简单地应用于外国出生的人口.
- 在整合社会正义和健康公平的理论化中存在一个差距.
结论:
- 提出了一个基于健康平等和社会正义的新兴接入模式.
- 这个模型可以指导利益相关者减少健康差距.
- 未来的研究应该应用新模型的构造来确定干预机会.
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