促进糖尿病预防,治疗和结果的平等:实现我们的价值观
1Division of Endocrinology, Diabetes and Metabolism, The Ohio State University College of Medicine, Suite 5000E, 700 Ackerman Road, Columbus, OH 43202, USA.
Endocrinology and metabolism clinics of North America
|October 21, 2023
概括
糖尿病的健康不平等源于健康的社会决定因素,受到历史政策的影响. 解决这些问题需要多方面的战略,重点关注个人护理和系统性变革,以改善所有人的结果.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 健康的社会决定因素
背景情况:
- 在预防,管理和结果方面,糖尿病不平等仍然存在.
- 几十年来,红线化等历史性政策对糖尿病患病率和控制产生了负面影响.
- 健康的社会驱动因素对于理解和解决糖尿病差异至关重要.
研究的目的:
- 突出糖尿病不平等的根深蒂固的原因.
- 倡导采用多式联运方式来推进糖尿病平等.
- 强调各级政策倡导的必要性.
主要方法:
- 审查历史政策及其对糖尿病的影响.
- 对糖尿病健康的社会决定因素的分析.
- 针对个人和上游因素的多式联运干预的框架.
主要成果:
- 历史上的政策已经对糖尿病产生了持久的不利影响.
- 多模式方法对于糖尿病公平至关重要.
- 解决社会需求和上游驱动因素至关重要.
结论:
- 推进糖尿病公平需要一个全面的战略.
- 个人层面的干预必须与系统性变化相结合.
- 在糖尿病护理中以公平为中心将使所有个人受益.
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