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通过社会护理干预措施促进健康平等

Monica E Peek¹, Laura M Gottlieb², Chyke A Doubeni³

¹Section of General Internal Medicine, Chicago Center for Diabetes Translation Research, MacLean Center for Clinical Medical Ethics, Center for the Study of Race, Politics and Culture, The University of Chicago, Chicago, Illinois, USA.

Health services research

|November 28, 2023

概括

这项研究提出了一个框架,通过解决社会护理研究中的种族主义来促进健康平等. 它建议卫生保健研究和质量局 (AHRQ) 采取行动,支持边缘化人口.

科学领域:

健康公平研究健康公平研究
健康的社会决定因素 (SDOH)
种族主义作为健康决定因素

背景情况:

边缘化人口面临不成比例的社会需求和负面的SDOH.
医疗保健系统中的社会护理干预需要有针对性的研究.
解决系统性不平等问题对于推进健康公平至关重要.

研究的目的:

通过解决社会护理干预研究中的种族主义问题,制定促进健康平等的框架.
为医疗保健研究和质量局 (AHRQ) 提供关于支持边缘化群体的建议.
将关于种族主义的证据纳入社会护理研究和实践.

主要方法:

对与医疗保健系统相关的社会护理干预措施的文献综述.
卫生公平专家,政策制定者和社区领导人的投入.
在研究作者和峰会参与者之间建立共识.

主要成果:

AHRQ应该培养一个生态系统,重视SDOH和社会护理干预研究.
需要与联邦机构合作,以解决系统性边缘化问题.
包容性护理和研究团队是必不可少的.
了解和减轻种族主义对健康的影响至关重要.
与社区共同创作对于扩大SDOH战略至关重要.
研究方法必须促进对社会健康平等的理解.

结论:

通过利用其对利益相关者的影响,AHRQ可以促进健康公平.
专注于SDOH和社会护理研究中的边缘化人口的独特经验是关键.
必须积极解决系统性种族主义和其他形式的边缘化问题.

关键词:

健康的决定因素/人口健康/健康的社会经济原因.医疗保健的差异和差异卫生公平性健康公平性促进健康/预防/查健康的社会决定因素

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