通过健康不平等研究和实践加速变革的指导原则:修改后的德尔菲共识过程
Farah Ahmed1, Charlotte Woodhead1,2, Ali Hossaini3
1Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
PloS one
|July 29, 2025
概括
由于机构的积极维护,健康和社会不平等仍然存在. 一个健康和社会平等集体开发了十一条指导原则,通过研究,社区参与和组织变革来破坏这些系统.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 卫生政策 卫生政策
背景情况:
- 卫生和社会不平等仍然是一个持续的挑战,往往由制度实践和意识形态加剧,而不是仅仅是被动的条件.
- 解决这些不平等问题需要在研究,政策和实践中进行重大改革,以拆除根深蒂固的系统并推动系统变革.
研究的目的:
- 建立对健康和社会平等集体指导原则的共识.
- 为包容性和翻译性知识库提供信息,增强研究实践,并集中社区的观点来解决健康不平等问题.
主要方法:
- 在2022年3月至9月期间,采用了经过修改的Delphi共识流程.
- 通过在线研讨会和调查,与集体成员及其网络合作,改进了24份共识声明.
主要成果:
- 大多数受访者同意致力于健康和社会公平的11个关键原则.
- 这些原则分为三个主要主题:对不平等的认识和框架,社区参与和同行研究,以及组织文化变化.
- 优先级有所不同,有两个原则被超过75%的受访者认为是优先级.
结论:
- 鉴定出来的原则为未来关于健康和社会公平的共识建设倡议提供了基础.
- 这些原则强调需要包容性研究,强有力的社区参与和变革性的组织文化.
- 建议基于从国家和国际卫生公平倡议的持续学习进行代更新.
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