在健康公平与可持续性之间建立联系
Rachel C Shelton1, Maji Hailemariam2, Juliet Iwelunmor3
1Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States.
Frontiers in public health
|October 12, 2023
概括
确保基于证据的干预措施 (EBIs) 长期持续,需要关注健康公平. 优先考虑社区内部的资产,而不是赤字,是公平可持续性和最大限度地提高所有人的健康益处的关键.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 健康 公平 卫生 公平
背景情况:
- 基于证据的干预措施 (EBI) 的可持续性是一个重大的公共卫生挑战,只有大约一半是持续的.
- 面临系统性障碍 (如贫困,种族主义) 的环境和人口面临更大的可持续性挑战.
- 卫生不平等仍然存在,不成比例地影响着资源不足的社区获得EBI并从中受益.
研究的目的:
- 争取在实施科学中更加关注可持续性,以最大限度地提高EBI的长期健康益处和社会影响.
- 突出卫生公平框架在维持EBI方面发挥的关键作用,特别是在历史上服务不足的人群中.
- 从以赤字为基础的方法转向以资产为基础的方法,以促进EBI的可持续性.
主要方法:
- 概念分析和论证的发展.
- 通过健康公平镜头审查实施科学文献.
- 讨论应用到EBI可持续性的基于资产的社区发展原则.
主要成果:
- 在实施科学中,加强对可持续性的关注对于公平的健康结果至关重要.
- 卫生公平框架需要识别和培养社区资产,以支持EBI的可持续性.
- 超越赤字心态对于在不同环境中成功的长期EBI实施至关重要.
结论:
- 从健康公平的角度来看,优先考虑可持续性对于最大限度地提高EBI的影响至关重要.
- 建议包括与合作伙伴进行早期的可持续发展规划,公平的进度跟踪,以及持续关注公平和参与.
- 未来的方向包括开发和利用支持公平可持续性实践的框架和工具.
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