医疗保健服务中的非正式隔离:历史,事和客观证据
1Olveen Carrasquillo is with the Departments of Medicine and Public Health, University of Miami, Miller School of Medicine, Miami, FL.
实现健康公平受到持续的种族和种族隔离的阻碍,尽管正式的隔离结束了,但在医疗保健提供中仍然存在种族和种族隔离. 解决这个不舒服的问题需要更多的认可和宣传,以消除根深蒂固的差异.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 医疗保健社会学 医疗保健社会学
背景情况:
- 几十年来,在实现健康公平方面取得的进展有限.
- 医疗保健提供系统继续表现出严重的种族和民族隔离.
- 尽管种族隔离在20世纪60年代正式结束,但非正式的种族隔离仍然存在.
研究的目的:
- 为了证明在医疗保健提供中存在的非正式种族和种族隔离的持续性.
- 为了突出缺乏讨论和行动的普遍隔离在医疗保健.
- 倡导更多的认可和可见性,以解决健康差异.
主要方法:
- 对历史数据,事证据和关于医疗保健隔离的客观数据的审查.
- 作者在隔离的医疗保健系统中40年的个人经验.
- 关于医疗保健中的种族和民族隔离的主要研究和研究的简要概述.
主要成果:
- 在医疗保健提供中,非正式的隔离仍然被广泛实践,接受和合理化.
- 在医疗保健提供中普遍存在的隔离是一个不舒服且未被讨论的话题.
- 实现健康公平的重大挑战源于这种持续的隔离.
结论:
- 更大的认可,可见性和宣传对于解决医疗保健隔离至关重要.
- 有意义的社区参与对于消除健康差距至关重要.
- 对种族隔离等根深蒂固的挑战保持沉默,阻碍了健康平等的进展.
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