在复杂的跨国环境中融入公平和多样性原则:心血管疾病和糖尿病联合行动 (JACARDI) 第一年的方法,工具,能力建设和经验
Natalia Skogberg1, Teresa Spadea2, Benedetta Armocida3
1Finnish Institute for Health and Welfare, Helsinki, Uusimaa, Finland natalia.skogberg@thl.fi.
BMJ global health
|November 17, 2025
概括
在卫生计划中早期嵌入公平和多样性原则,如心血管疾病和糖尿病联合行动 (JACARDI),对于减少社会不平等至关重要. 这种方法从一开始就确保了包容性政策的制定.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 健康 公平 卫生 公平
背景情况:
- 解决健康方面的社会不平等需要了解系统驱动因素和健康差异的交叉性质.
- 增加人口多样性需要在计划和政策制定中积极整合公平,多样性和包容 (EDI) 原则.
- 早期实施EDI原则可以防止以后采取昂贵的纠正措施.
研究的目的:
- 概述在欧盟共同资助的心血管疾病和糖尿病联合行动 (JACARDI) 中嵌入EDI原则的设计和第一年的经验.
- 引入一个概念的4Cs框架 (批判性反思,上下文和数据,共同设计,沟通),以促进对EDI的重要性和实施的共同理解.
主要方法:
- 在所有JACARDI活动中系统地整合EDI,涉及21个国家,76个合作伙伴和142个试点项目.
- 通过共享的术语词典,协调的XV步骤实施方法中的EDI镜头以及EDI成熟度矩阵,开发和运行4Cs框架.
- 系统能力发展,以支持采用开发的方法和工具.
主要成果:
- 在一个大规模的多国健康倡议 (JACARDI) 中,成功设计和初步实施EDI原则.
- 开发实用工具和框架 (4Cs) 以指导和评估EDI在卫生计划中的整合.
- 通过能力建设倡议,为EDI普及提供系统支持.
结论:
- 从一开始就嵌入EDI原则对于减少健康方面的社会不平等至关重要.
- 开发的4Cs框架,词汇表,方法镜头和成熟度矩阵为EDI集成提供了可转移和可扩展的工具.
- 这些方法有潜力支持可持续和包容性的卫生政策和实践,跨越多样化的全球背景.
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