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超越慈善:为口腔健康中的结构性健康公平而改变系统的慈善事业
John Gabelus1, Trenae Simpson1
1CareQuest Institute for Oral Health, Boston, USA.
Journal of public health dentistry
|September 11, 2025
概括
医疗慈善需要以公平为中心的模式来解决差异. 这种方法为社区主导的努力提供资金,转移权力并推动系统变革,以实现长期的口腔健康转型.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 慈善研究 慈善研究
背景情况:
- 传统的健康慈善往往专注于服务提供,忽视了健康的社会决定因素.
- 扩大健康差距和对公共健康的威胁需要慈善战略的演变.
- 从历史上看,口腔健康一直被排除在更广泛的健康公平和社会正义议程之外.
研究的目的:
- 引入和探索以公平为中心的慈善模式,以推动口腔健康系统的变化.
- 展示慈善事业如何建立社区力量,促进长期转型.
- 为了解决慈善事业在应对健康差异和政策威胁方面发展的需要.
主要方法:
- 凯瑞奎斯特研究所的模式优先考虑资助社区主导的组织,并以生活经验为中心.
- 该方法支持多年合作伙伴关系,并将口腔健康纳入跨部门健康正义运动.
- 两个受助人案例研究说明了这种以公平为中心的慈善方法的应用.
主要成果:
- 案例研究突出了美国家庭的政策倡导和社区催化剂对健康正义运动的能力建设.
- 以公平为中心的慈善事业有效地支持结构性变化,并放大社区领导力.
- 这些例子表明,慈善投资有潜力推动有意义的转型.
结论:
- 以公平为重点的慈善事业必须克服诸如开发新的评估框架和确保可持续能力建设等挑战.
- 慈善事业需要抵制提取性或父权主义动态,并积极重新分配权力.
- 推进健康公平需要慈善事业成为提高社区声音和维持口腔健康系统转型的合作伙伴.
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