卫生公平与初级医疗保健之间的可能联系:范围审查
Ana Júlia Nociti Lopes Fernandes1, Luciana Cisoto Ribeiro2, Janise Braga Barros Ferreira3
1Postgraduate Program in Public Health, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900. Monte Alegre, Ribeirão Preto, São Paulo, 14049-900, Brazil.
初级医疗保健对健康公平至关重要,但其在政策中的测量和应用需要更清晰的定义和具体的工具,以便更好地理解和实施.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 卫生公平研究 卫生公平研究
背景情况:
- 初级医疗保健 (PHC) 被认为是实现健康平等的关键决定因素.
- 现有的文献探讨了健康公平,PHC和公共卫生政策的交叉关系.
- 了解这种关系对于制定有效的健康策略至关重要.
研究的目的:
- 系统地审查有关健康公平与初级保健之间的文献.
- 分析卫生公平如何在PHC和公共卫生政策背景下被概念化和应用.
- 确定在研究和实践中衡量和应用健康公平方面的差距.
主要方法:
- 在主要数据库 (SCOPUS,CINAHL,BVS,PubMed,Scielo) 进行了全面的文献搜索.
- 乔安娜·布里格斯研究所的方法用于研究选择和数据提取.
- 资格标准集中在人口 (一般),概念 (健康公平) 和背景 (PHC),包括34个选定的材料.
主要成果:
- 卫生公平主要与理论框架相关,强调获得,边缘化人口和抽象原则.
- 在微层次的卫生工作,管理和政策领域中确定了公平性和PHC之间的联系.
- 很少有研究在获取,护理,资金或结果方面量化衡量了公平,这个概念往往是负面的或与不平等相关的.
结论:
- 需要开发专门的工具来有效地衡量PHC内的健康公平性.
- 在出版物中需要更大的清晰度和精确性,以促进对健康公平原则的理解和应用.
- 加强概念化和测量对于加强PHC在促进健康公平方面的作用至关重要.
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