为了捍卫以政策为基础的健康方法
1Department of Family and Community Medicine, UT Southwestern School of Medicine Farley Health.
概括
卫生政策通过解决社会决定因素,对人口健康产生重大影响. 将临床专业知识纳入政策制定是有效,公平的健康结果的关键.
科学领域:
- 卫生政策 卫生政策
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
背景情况:
- 卫生政策影响的健康结果超出了临床护理,包括社会和结构性决定因素.
- 政策在联邦,州,地方和卫生系统层面上运作.
- 现有的框架,如金顿的政策流模型和弗里登的健康影响金字塔,突出显示了上游干预措施的影响.
研究的目的:
- 检查卫生政策的定义,范围和意义.
- 强调上游政策干预对人口层面影响的潜力.
- 解决在学术医学和医疗保健服务中研究成果和政策实施之间的差距.
主要方法:
- 对现有卫生政策框架的评论和分析.
- 审查临床医生和卫生服务研究人员在政策中的作用.
- 讨论基于证据的政策制定中的伦理考虑.
主要成果:
- 上游政策干预为改善人口健康提供了最大的潜力.
- 卫生研究与将其转化为政策之间仍然存在很大的差距.
- 尽管卫生专业人员处于独特的地位,但在政策制定中却没有充分利用.
结论:
- 卫生专业人员需要工具来将临床见解转化为可行的政策建议.
- 包容性,基于证据的政策制定是道德上的必要要求,反映了社会价值观.
- 将临床专业知识与政策参与相结合,对于推进公平有效的卫生政策和改善人口健康至关重要.
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