引入一个框架,支持在专业服务中识别和解决健康不平等问题
Shaun McGill1, Nathan Davies2,3, Dianne Addei4
1Healthcare Public Health Team, NHS England - Midlands, Nottingham, UK shaun.mcgill2@nhs.net.
BMJ leader
|January 5, 2024
概括
解决医疗保健在专业服务中的不平等问题需要一种系统的方法. 一个新的框架有助于识别和解决这些差异,以改善患者护理和结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗保健在规定的专业服务中的不平等在历史上一直被忽视.
- 专业服务可以加剧健康差异,影响复杂的护理途径的末端的小患者群体.
- 系统的领导对于识别和缓解这些不平等至关重要.
研究的目的:
- 制定一个框架,在专业服务中识别健康不平等.
- 为解决发现的不平等问题提供可行的建议.
- 与医疗保健中的健康公平国家战略保持一致.
主要方法:
- 一个快速的文献综述2015年以来发表的研究.
- 利益相关者参与,为框架开发提供信息.
- 为适应特定人口需求而设计的框架.
主要成果:
- 开发的框架与现有的英国国家对健康不平等的方法进行了整合.
- 它包括可能导致不平等的预定义服务特征,并建议缓解策略.
- 该框架可以适应不同的人口需求.
结论:
- 在患者医疗旅程的各个阶段,考虑健康不平等至关重要.
- 赋予当地领导人权力是推动患者获取,体验和结果改善的关键.
- 专业服务的持续改进需要积极识别和解决不平等现象.
相关概念视频
Specialized Care Centers and Settings-II
727
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
727
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Specialized Care Centers and Settings-I
944
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
944
Introduction To Health Care Delivery System
2.8K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.8K
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K


