在亚裔美国人医疗保健中实现公平:关键问题和解决方案
Jed Keenan Obra1,2, Bryant Lin1,3, Lan N Đoàn4
1Stanford Center for Asian Research and Education, Stanford University School of Medicine; Palo Alto, CA.
Journal of Asian health
|October 24, 2023
概括
由于资金不足和汇总数据,亚裔美国人面临着严重的健康差异. 增加研究和分类数据对于改善亚洲健康结果和实现健康公平至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 健康差异 在健康上的差异
背景情况:
- 亚洲人占美国人口的6%,但获得的NIH卫生研究资金不到1%.
- 亚裔美国人的健康状况往往比非西班牙裔白人更糟,亚裔美国人的健康状况往往比非西班牙裔白人更糟,亚裔美国人的健康状况往往比非西班牙裔白人更糟,亚裔美国人的健康状况往往比非西班牙裔白人更糟.
- 现有的汇总数据掩盖了不同亚裔美国社区的特定健康风险.
研究的目的:
- 突出六个主要亚裔美国人亚组之间的关键健康结果差异.
- 确定导致亚裔美国人健康差异的关键问题.
- 为改善亚裔美国人的健康和实现健康公平提出可行的战略.
主要方法:
- 对亚裔美国人亚组的人口统计,药理学,疾病流行率和死亡率数据的分析.
- 审查现有文献,并确定影响亚洲健康研究的系统性问题.
- 制定一个具有9个杆点的干预框架.
主要成果:
- 亚洲人,印度人,中国人,菲律宾人,日本人,韩国人和越南人之间存在显著的健康结果差异.
- 关键问题包括聚合数据,样本不足,试验代表人数不足和缺乏资金.
- 提出了9个杆点,重点是分类数据,有针对性的研究和社区参与.
结论:
- 解决系统性问题和增加有针对性的研究资金对于减少亚裔美国人的健康差异至关重要.
- 分散数据和文化准确的医疗保健对于实现健康公平至关重要.
- 需要一个统一的国家方法来优先考虑和改善亚裔美国人的健康.
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