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在医院事件指挥系统中嵌入公平:叙述审查
Joint Commission journal on quality and patient safety
|December 3, 2023
概括
本研究回顾了将健康公平纳入医院事件指挥系统 (HICS) 的战略,以应对灾害. 它为卫生系统提供了实际的方法,以确保在紧急情况下提供公平的护理.
科学领域:
- 公共卫生 公共卫生
- 卫生系统管理管理卫生系统管理
- 应急准备 应急准备 应急准备
背景情况:
- 灾难不成比例地影响边缘化人口,加剧健康不平等.
- 医院事件指挥系统 (HICS) 是灾难响应的标准,但缺乏内置的公平考虑.
- 目前的HICS结构没有解决卫生危机期间脆弱群体的独特需求.
研究的目的:
- 确定和总结将健康公平纳入HICS的方法.
- 为卫生系统提供可行的策略,以提高灾难响应的公平性.
主要方法:
- 来自高收入国家的同行评审和灰色文献的叙事审查.
- 在数据库 (PubMed,SCOPUS) 和灰色文献中搜索了HICS/ICS和股票相关术语.
- 采用感应性主题分析来确定共同的主题.
主要成果:
- 确定了将股权融入HICS的三个关键主题:包括股权专家,修改股权系统和社区敏感性.
- 成立了几项旨在将公平纳入灾难准备和应对的倡议.
- 为卫生系统领导人提取了实用策略.
结论:
- 将股权融入HICS是可行的,也是有效应对灾害所必需的.
- 这些发现为卫生系统提供了实际指导,以促进紧急情况下的公平.
- 建议进一步将公平原则纳入灾害管理框架.
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