公平对谁来说? 学习卫生系统对医疗保健公平的方法
Nakia K Lee-Foon1, Robert J Reid2, Adalsteinn Brown3
1Health Equity Research Lead, Institute for Better Health, Trillium Health Partners, Mississauga, ON.
本研究阐明了在改善医疗保健方面公平的定义和应用. 它提供了可行的策略,将公平纳入学习健康系统 (LHS),以确保为所有患者提供公平的护理.
科学领域:
- 医疗保健管理的管理
- 健康 公平 研究 健康 公平 研究
- 系统科学 系统科学
背景情况:
- 医疗保健系统经常广泛地使用"公平",通常没有明确的应用到护理提供或改进举措.
- 学习健康系统 (LHSs) 模型日益突出,需要采取专注的方法,在多样化的医疗环境中嵌入公平.
- 对公平的不同组织视角进行导航是LHS研究人员面临的关键挑战.
研究的目的:
- 在学习卫生系统 (LHSs) 的背景下,批判性地检查公平的组成部分和定义.
- 识别和综合来自LHS股权方法的知识,这些知识可以在不同的医疗保健系统中转移.
- 为现有的LHS框架中嵌入公平性提供实际建议.
主要方法:
- 文献综述和对公平性定义和医疗保健中的应用进行概念分析.
- 审查现有学习健康系统的案例研究和最佳实践.
- 综合发现,制定一个框架,在LHSs.实施公平.
主要成果:
- 在医疗保健系统中对公平的理解和运营方面发现了显著的变化.
- 强调了公平的关键组成部分,包括公平,正义和健康的社会决定因素.
- 证明了特定的LHS策略可以适应以促进公平.
结论:
- 公平在医疗保健中经常不准确地使用,需要更清晰的定义和有针对性的应用.
- 学习健康系统为系统地解决健康公平提供了有价值的框架.
- 实施定义的策略可以帮助医疗保健系统实现更公平的护理服务.
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