对少数民族实施框架的调整,以改善健康公平:系统范围审查
Emma Mckenzie1, Phoebe Barnett1, Georgie Parker1
1Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.
实施框架可以调整以改善少数民族的健康公平. 本综述综合了适应措施,以支持公平的精神卫生保健服务.
科学领域:
- 实施科学 实施科学
- 健康 公平 研究 健康 公平 研究
- 精神病医疗服务研究研究 精神病医疗服务
背景情况:
- 在实施科学中存在重大差距,特别是对少数民族的卫生公平.
- 对实施框架的调整对于促进精神卫生保健中的健康公平至关重要.
- 在心理健康领域的种族不平等凸显了需要量身定制的实施策略.
研究的目的:
- 系统地识别和绘制少数民族实施框架的适应情况.
- 描述这些旨在改善健康公平的适应措施.
- 综合各种潜在的适应措施,以实现公平的实施.
主要方法:
- 在四个数据库 (MEDLINE,Embase,PsycINFO,CINAHL) 进行文献查询的系统范围审查.
- 搜索了2004年至2024年2月期间发表的针对少数民族的实施框架的调整.
- 符合条件的研究特征的叙述综合.
主要成果:
- 在2947篇选中,有6篇论文符合资格标准.
- 适应的框架包括评估,流程和决定类型,经常扩展或与以股权为重点的模型集成.
- 调整优先考虑了所有实施阶段的公平性,从选择到可持续性,尽管没有衡量有效性.
结论:
- 实施框架可适应,以促进少数群体的健康公平.
- 本综述为适应各种医疗保健环境中的框架提供了指导.
- 研究人员和提供者可以利用这些发现来加强公平的实施实践.
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