学习卫生系统,公平和有限的正义:一个批判性的范围审查
Vivetha Thambinathan1, Katie Lynch1, Maricruz Moya1
1Department of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan USA.
Learning health systems
|March 13, 2026
概括
学习健康系统 (LHS) 越来越多地纳入公平,但目前的方法有限. 未来的研究必须整合健康正义原则,以获得更强大的LHS公平科学.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 学习健康系统 学习健康系统
背景情况:
- 学习健康系统 (LHSs) 的科学已经扩大到包括公平目标.
- 目前将股权融入LHS的努力仍处于早期阶段.
- 需要对LHS文献中公平性如何被概念化进行批判性检查.
研究的目的:
- 批判性地检查现有关于学习健康系统的文献中围绕公平性的话语.
- 在LHS研究中确定主导主题和公平的方法.
- 为以股权为中心的LHS发展提供未来方向的信息.
主要方法:
- 进行了批判性范围审查,以有限正义概念为指导.
- 在多个数据库 (PubMed,Embase,Scopus,CINAHL) 进行文献搜索,截至2024年6月.
- 使用定性描述性分析来识别股权概念中的模式.
主要成果:
- 对40篇精选文章的分析揭示了四个关键主题:公平作为核心,公平作为降低风险,公平作为过程,公平由感兴趣的人口定义.
- 大多数文章的重点是"股权作为核心".
- 在2020-2024年期间,出版物显著增加,确定了五种新兴的以股权为中心的LHS方法.
结论:
- 在学习卫生系统中公平的科学是新生的,主要反映了狭窄的,西方化的观点.
- 迫切需要将健康正义传统更深入地纳入LHS理论,研究和实践.
- 未来的工作应该扩大LHS内公平的概念化和应用.
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