将健康公平实施科学框架应用于人口遗传查
Nandana D Rao1, Stephanie M Fullerton2, Brian H Shirts1,3
1Institute for Public Health Genetics, University of Washington, Seattle, WA, United States.
Frontiers in health services
|December 6, 2024
概括
实施科学框架可以指导公平的人口遗传查. 这些框架侧重于服务不足的群体和当地适应,但需要为后来的选阶段进行改进.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 遗传学 是一个遗传学.
- 实施科学 实施科学
背景情况:
- 卫生公平对于新的医疗保健干预措施至关重要.
- 实施科学框架的目的是减少健康差异.
研究的目的:
- 探索针对人口遗传查计划的以健康公平为重点的实施科学框架的适用性.
- 确定这些框架如何在选阶段指导公平实施.
主要方法:
- 系统地搜索PubMed和相关框架的参考列表.
- 对人口遗传查阶段 (招募,样本采集,结果,后续行动,级联查) 的框架指导的评估.
- 将研究结果综合到健康公平考虑中.
主要成果:
- 确定了五个以健康公平为重点的实施框架.
- 根据类型的框架有所不同:决定性,过程和评估.
- 共同的策略包括针对服务不足的人口,当地适应和社区伙伴关系 (对于过程模型).
结论:
- 现有的框架为公平的人口遗传查提供了广泛的指导.
- 遗传查的后期阶段的指导仍然存在差距.
- 使用框架和编制的公平考虑因素可以改善公平的实施.
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