在当地卫生部门推进公平:一种内向外的方法
Marvin H Ward1, Karen Stanley1, Georgia S Childs1
1All authors are with the North Carolina Department of Health and Human Services, Division of Public Health, Chronic Disease and Injury Section, Raleigh.
地方卫生部门应该使用"内外"的方法来改善健康和种族平等. 这涉及内部能力建设和与边缘化社区的外部参与,以告知公共卫生战略.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 种族正义是种族正义.
背景情况:
- 健康和种族不平等仍然存在,不成比例地影响边缘化社区.
- 当地卫生部门 (LHDs) 在解决这些差异方面发挥着至关重要的作用.
- 需要一种战略方法来提高LHD在促进公平性方面的有效性.
研究的目的:
- 为LHDs推一种"内向外"的方法,以促进健康和种族平等.
- 概述LHDs的内部和外部战略,以促进公平.
主要方法:
- 北卡罗来纳州公共卫生部门,慢性疾病和伤害部门提出了一个框架.
- 这一框架涉及LHDs内部的内部政策和文化变化.
- 它还强调与历史上被边缘化的人群的外部合作.
主要成果:
- 内部战略包括在LHD政策和实践中优先考虑公平.
- 在LHD中培养信任文化至关重要.
- 外部战略重点是寻求社区指导,以制定LHD政策和计划.
结论:
- 建议LHD采取"内外"的方法,以有效地解决健康和种族平等问题.
- 内部能力建设和外部社区参与是关键组成部分.
- 这种双重方法旨在改善LHD计划的参与度和所有人群的成果.
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