通过预防滥用物质来实现健康平等的考虑因素
Traci M Murray1, Marie Cox1, LaShonda Williamson-Jennings1
1Division of Extramural Research, National Institute on Drug Abuse, North Bethesda, Maryland (Murray); South Southwest Prevention Technology Transfer Center, University of Oklahoma, Norman, Oklahoma (Cox, Williamson-Jennings).
解决药物滥用的健康差异需要可访问,文化响应的行为健康服务. 专注于社区一级的预防和协调护理,促进了所有人群的公平结果.
科学领域:
- 公共卫生 公共卫生
- 行为健康 行为健康
- 健康 公平 卫生 公平
背景情况:
- 医疗保健的差异,包括获得和质量 (负担能力,劳动力培训),增加了滥用物质的风险.
- 实现健康公平需要为所有人群提供可访问和有意义的干预措施.
- 将资源定向于物质使用后果负担最大的人群至关重要.
研究的目的:
- 在药物滥用预防中描述健康公平.
- 检查整个行为健康服务连续性的健康公平性.
- 概述有希望的实践,将临床护理与预防与公平的社区条件相结合.
主要方法:
- 文献综述和现有关于健康公平和物质滥用的研究的综合.
- 分析行为健康临床医师在预防工作中的作用.
- 检查整个护理连续性的协调策略.
主要成果:
- 文化敏感,社区一级的预防服务是公平的关键.
- 协调需要文化谦卑,创伤知情的方法,多样化的观点和社区参与.
- 将临床护理与预防相结合,可以促进更健康,更公平的社区环境.
结论:
- 预防滥用药物的健康公平要求采取多方面的方法.
- 包括预防在内的综合护理模式对于减少差异至关重要.
- 社区层面的参与和文化敏感的做法对于有效的行为健康服务至关重要.
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