解决患者尚未满足的社会需求:检查清单是一种手段,信任是基础
Bruce W Sherman1, A Mark Fendrick
1University of North Carolina at Greensboro, 117 Kemp Rd E, Greensboro, NC 27410.
The American journal of managed care
|March 8, 2024
概括
仅仅解决社会需求并不能解决健康不平等问题. 对于有效的健康公平战略,必须考虑医疗不信任和其他因素.
科学领域:
- 健康的社会决定因素
- 卫生公平研究 卫生公平研究
- 医学不信任研究研究.
背景情况:
- 尽管努力解决社会需求,但健康不平等仍然存在.
- 社会需求被认为是健康差异的关键驱动因素.
- 越来越多地研究了医疗不信任对健康结果的影响.
研究的目的:
- 突出在健康公平方面仅仅解决社会需求的局限性.
- 强调医疗不信任在健康差异中的关键作用.
- 倡导实现健康公平的综合方法.
主要方法:
- 关于社会需求干预和健康公平的文献综述.
- 对检查医疗不信任与健康结果之间的关系的研究进行分析.
- 综合证据关于多方面的健康公平方法的证据.
主要成果:
- 仅针对社会需求的干预措施在减少健康不平等方面取得了有限的成功.
- 医疗不信任大大加剧了健康差异,独立于社会需求.
- 一个整体的战略,包括社会需求和信任建设是必不可少的.
结论:
- 仅仅解决社会需求是不够的,以实现健康公平.
- 医疗不信任是健康不平等的关键,经常被忽视的决定因素.
- 未来的干预措施必须将社会需求支持与重建医疗信任的努力相结合.
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