为美国预防性服务工作组制定健康公平框架
Jennifer S Lin1, Elizabeth M Webber1, Sarah I Bean1
1Kaiser Permanente Evidence-based Practice Center, Center for Health Research, Kaiser Permanente, Portland, Oregon.
JAMA network open
|March 11, 2024
概括
美国预防服务工作组 (USPSTF) 制定了一个健康公平框架,将公平考虑纳入其整个推过程. 该框架旨在在临床实践指南中解决健康不平等和种族主义问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 基于证据的医学基于证据的医学.
背景情况:
- 临床实践指南对于减少健康不平等至关重要.
- 美国预防服务工作组 (USPSTF) 致力于在其建议中解决健康平等和种族主义问题.
- 现有的USPSTF流程需要改进,以系统地纳入健康公平镜头.
研究的目的:
- 为USPSTF制定一个全面的框架,在其推开发的所有阶段整合健康公平考虑.
- 创建一个实用的工具,包括一个检查清单,以指导USPSTF应用健康公平镜头.
主要方法:
- 审查了与健康公平相关的关键指导,政策和解释框架.
- 将现有的健康公平策略与当前的USPSTF方法进行映射.
- 咨询了USPSTF成员和辅助人员.
- 制定了一个框架和检查清单草案,并纳入了主要合作伙伴的反.
主要成果:
- 制定了一个健康公平框架,适用于推制定的所有阶段:主题提名,工作计划,证据审查,审议,推声明和传播.
- 该框架包括每个阶段的具体考虑和检查清单项目,例如优先考虑健康公平,吸引各种利益相关者,制定与公平相关的研究问题,并以公平为重点综合证据.
- 通过股权透视来检查净收益,实施和证据差距的方法被概述.
结论:
- 开发的框架为USPSTF提供了一个结构化的方法,以便在其建议中故意解决健康公平问题.
- 该框架的实施可能需要额外的时间和资源,但为提高透明度和一致性提供了重要的指导.
- 这个框架可以作为其他基于证据的指南实体的典范,旨在推进健康公平.
更多相关视频
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.5K
07:20Dried Blood Spot Collection of Health Biomarkers to Maximize Participation in Population Studies
Published on: January 28, 2014
36.4K
相关概念视频
01:30Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
01:26Levels of Health Promotion and Illness Prevention
12.6K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.6K
01:25Models of Health Promotion and Illness Prevention I
2.0K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.0K
01:18Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K
01:30Primary 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
01:26Methods 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