评论:实现健康公平 - - 学习健康系统的作用
Arlene S Bierman1, Kamila B Mistry2
1Chief Strategy Officer, US Agency for Healthcare Research and Quality, Maryland, US.
学习健康系统可以通过优先考虑健康平等,优化护理模式和促进社区伙伴关系来消除健康不平等. 这些系统整合了临床,公共卫生和社会护理,以满足社会需求并改善人口健康.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 卫生公平已成为卫生系统转型的核心目标.
- 质量改善工作越来越多地集中在实现公平的健康结果上.
- 历史上,高绩效的卫生系统一直关注健康公平.
研究的目的:
- 概述学习卫生系统在消除健康不平等方面发挥的关键作用.
- 确定卫生系统的关键策略和组件,以推进健康公平.
主要方法:
- 在所有倡议中优先考虑健康公平.
- 开发,实施和评估创新的护理模式.
- 与患者和社区建立强大的伙伴关系.
- 开展针对不同人群的干预措施的研究.
- 整合临床,公共卫生和社会护理服务.
- 参与多部门合作,以解决健康的社会决定因素.
主要成果:
- 学习健康系统可以大大有助于减少健康差异.
- 服务的战略整合和社区参与对于成功至关重要.
- 对跨人群干预有效性的证据生成至关重要.
结论:
- 学习健康系统对于实现健康平等至关重要.
- 需要采用多方面的方法,包括护理优化,研究和合作.
- 通过综合护理解决社会需求是消除健康不平等的关键.
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