在系统性审查和基于证据的指导方针中关于种族和种族健康平等的观点
Meera Viswanathan1, Jennifer S Lin2, Rania Ali1
1RTI International and RTI International-University of North Carolina Evidence-based Practice Center (Cochrane US Affiliate), Research Triangle Park, North Carolina (M.V., R.A., N.A.S., E.M.W.).
Annals of internal medicine
|October 27, 2025
概括
系统性审查和指导方针可以减少健康差异. 峰会的重点是将种族和民族健康公平纳入这些过程,强调定制方法和利益相关方参与未来的进展.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生公平研究 卫生公平研究
- 证据综合方法论的方法论
背景情况:
- 综合证据和指导方针开发小组可以在解决健康差异方面发挥关键作用.
- 种族和民族健康不平等仍然存在,需要在健康研究和政策中集中注意力.
- 2024年6月的峰会召集了专家,讨论在系统性审查和指导方针中推进种族和民族健康平等.
研究的目的:
- 总结关键主题,并确定将种族和种族健康平等纳入系统审查和指南的未来方向.
- 在证据综合的范围,方法,解释和建议中概述解决公平问题的策略.
- 确定追踪进展的优先事项,并使健康公平考虑的纳入成为可行的.
主要方法:
- 该研究总结了由医疗保健研究和质量局 (AHRQ) 和罗伯特·伍德·约翰逊基金会 (RWJF) 共同赞助的峰会上的讨论和共识优先事项.
- 讨论的主要主题包括公平的理由,利益相关者代表,以公平为重点的范围和方法,准则挑战,标准化报告和进度跟踪.
- 在参与者讨论中确定了共识优先事项.
主要成果:
- 参与者认识到需要量身定制的方法,而不是一个适合所有人的模式.
- 主要讨论领域涵盖了体验代表的重要性以及种族和种族的标准化语言.
- 下一步的优先事项包括制定以公平为重点的方法指导,进度跟踪措施,并使利益相关者参与行动.
结论:
- 在系统审查和指导方针中推进种族和民族健康公平需要专门的方法开发和明确的进度指标.
- 让代表性利益相关者参与并分享资源对于实现这些进步至关重要.
- 未来的努力应该集中在创造实用的指导和工具,在整个证据综合和指导方针制定过程中嵌入健康公平考虑.
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