通过加强获得医疗保健的机会,消除医疗保健不平等
Monique Jindal1, Krisda H Chaiyachati2,3, Vicki Fung4
1Department of Academic Internal Medicine, University of Illinois Chicago, Chicago, Illinois, USA.
Health services research
|November 28, 2023
概括
本研究概述了一项研究议程,以解决医疗保健获取不平等的问题. 它建议资助对种族主义和反种族主义实践的研究,以改善健康公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生公平研究 卫生公平研究
- 公共卫生政策 公共卫生政策
背景情况:
- 在获得医疗保健方面的不平等仍然存在,影响着不同的人口.
- 医疗保健研究和质量机构 (AHRQ) 召开了健康公平峰会,以定义和解决这些差异.
- 了解医疗保健准入需要考虑多个维度和系统因素的细微方法.
研究的目的:
- 建立一个研究议程,并提供可行的建议,以改善医疗保健准入公平.
- 评估AHRQ的使命和实施组合中的医疗保健公平的意义.
- 确定关键的知识差距和研究重点,以解决医疗保健准入不平等问题.
主要方法:
- 一个多利益相关者健康公平峰会,涉及来自学术界,工业界和政府的专家.
- 使用了莱维斯克等人. 框架,包括访问的维度 (可接近性,可接受性,可用性,适应性,可负担性,适当性).
- 纳入了利益相关者参与的过程,通过健康公平镜头来概念化访问,包括对种族主义和交叉性的考虑.
主要成果:
- 根据多方利益相关者的意见和文献审查,制定了研究重点框架.
- 确定了种族主义和跨界性在医疗保健准入不平等中的关键作用.
- 建议资助研究以测量种族主义和测试反种族主义干预措施,以及AHRQ在综合最佳实践中的作用.
结论:
- AHRQ处于战略地位,可以领导一项针对医疗保健公平的行动计划.
- 建议侧重于研究,召集利益相关者,并综合最佳实践,以减轻种族主义.
- 拟议的议程旨在为研究医疗保健公平性和获取提供前进的途径.
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