[通过交叉镜头重新思考以患者为中心的护理:通往健康公平的途径]
Sidra Khan-Gökkaya1, Birgit Babitsch2, Isabel Marin Arrizabalaga3
1Integrations‑, Migrations- und Anti-Rassismusbeauftragte, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20251, Hamburg, Deutschland. s.khan-goekkaya@uke.de.
以患者为中心的护理需要认识到不同的社会现实,并解决歧视问题,以确保为所有人提供公平的医疗服务. 跨界方法对于克服障碍和改善医疗保健结果至关重要.
科学领域:
- 医疗保健 公平 医疗保健 公平
- 健康的社会决定因素
- 以患者为中心的护理
背景情况:
- 以患者为中心的护理需要承认不同的社会现实和个体患者的需求.
- 基于性别,性取向,语言,法律地位或社会地位的歧视造成了公平医疗保健的障碍.
- 对歧视的跨界理解对于以患者为中心的护理至关重要,以识别和解决医疗保健准入障碍.
研究的目的:
- 强调以患者为中心的护理中交叉方法的重要性.
- 倡导将边缘化群体纳入医疗保健的设计和提供.
- 强调需要医疗保健工作人员的专业化和收集关于健康不平等的数据.
主要方法:
- 审查国际和国家倡议,促进为边缘化群体提供以患者为中心的护理.
- 强调医疗保健工作人员的专业化和机构结构能力.
- 倡导对健康不平等和歧视经历进行例行数据收集.
主要成果:
- 现有的倡议越来越多地关注边缘化群体和医疗保健不平等.
- 医疗保健工作人员的专业化提高了解决歧视问题的机构能力.
- 关于健康不平等的数据收集对于策略制定至关重要.
结论:
- 平等的以患者为中心的护理需要在研究,医疗保健提供和卫生政策方面做出具体的改变.
- 解决歧视问题和促进跨部门的理解是实现公平医疗保健的关键.
- 将边缘化群体的经验融入医疗保健是有效干预的基础.
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