SPHERE模型:通过响应性评估进行社会处方和健康公平
Bo Kim1,2
1Center for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, MA, United States.
Frontiers in public health
|March 6, 2026
概括
SPHERE模型指导社会处方公共政策的实施和评估,增强健康公平. 它确保政策有效地将人们与社区服务联系起来,促进可持续的健康结果.
科学领域:
- 实施科学 实施科学
- 健康 公平 卫生 公平
- 公共政策分析 公共政策分析
背景情况:
- 社会处方将个人与解决健康社会决定因素的非临床服务联系起来.
- 管理这些服务获取的公共政策至关重要,但未被充分研究.
- 现有的框架缺乏关注政策作为社会处方的实施基础设施.
研究的目的:
- 介绍SPHERE模型 (通过响应性评估进行社会处方和健康公平).
- 为设计,实施和评估政策提供一个框架,使社会处方成为可能.
- 强调公共政策在通过社会处方促进健康公平方面的作用.
主要方法:
- 从实施科学,评估理论和以健康公平为中心的设计中汲取.
- 开发了由八个组成部分组成的SPHERE模型.
- 用政策示例说明模型:住房优先,医疗补助重新进入,以及当地粮食政策委员会.
主要成果:
- 该SPHERE模型整合了政策作为社会处方系统的关键驱动因素.
- 它提供了一种结构化的方法,以确保政策以响应社区的方式实施.
- 该模型支持基于健康公平原则的适应性和问责性政策交付.
结论:
- 公共政策是有效的社会规范的基本,可操作的组成部分.
- SPHERE模型有助于将推系统转化为以健康公平为导向的平台.
- 整合SPHERE可以导致改善健康和促进健康公平的结构性变化.
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