现在是时候了:解决劳动力中的健康不平等问题
Bruce W Sherman1,2, Brian Sils3, Kimberly Westrich3
1Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH.
Journal of managed care & specialty pharmacy
|March 28, 2025
概括
雇主可以通过使用数据来使福利更公平地减少员工和家庭的健康不平等. 他们还应该倡导透明度和以患者为中心的护理,以改善健康结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生公平研究 卫生公平研究
- 职业健康 职业健康 职业健康
背景情况:
- 雇主是美国劳动者的主要医疗保险提供者.
- 健康不平等影响员工及其家人,受到各种利益相关者和系统因素的影响.
- 系统性因素包括种族主义,偏见,不信任,健康素养以及访问/负担能力问题.
研究的目的:
- 概述雇主如何改善其员工的健康公平.
- 确定雇主策略,以解决健康福利和结果方面的不平等问题.
- 突出雇主在倡导系统变革中的作用.
主要方法:
- 评论和分析利益相关者在健康不平等中的角色.
- 使用数据驱动方法检查雇主特定的机会.
- 一个说明性的例子,重点是处方药的使用不平等.
主要成果:
- 雇主可以通过公平的福利设计 (范围,获取,负担能力) 提高健康公平性.
- 数据驱动的策略可以识别和解决特定的不平等现象,例如药物使用.
- 雇主可以倡导透明度,以患者为中心的护理和绩效激励.
结论:
- 雇主有很大的机会推动员工和家庭的健康公平.
- 雇主的战略行动,包括倡导和福利设计,对于减少健康差距至关重要.
- 需要进一步的研究,以促进雇主主导的健康公平倡议的最佳实践.
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