Jacobs Elizabeth A, Kohrman Claire, Lemon Maurice, Vickers Dennis L
Collaborative Research Unit and Division of General Medicine and Primary Care, Department of Medicine, Cook County Hospital/Rush Medical College, Chicago, IL 60612, USA.
Public Health Rep. 2003 Jul-Aug;118(4):349-56. doi: 10.1093/phr/118.4.349.
Racial and ethnic disparities in health care continue to be a major impediment to improving the health of many communities in the United States. Efforts must be directed at the multiple social, economic, and historic determinants of health disparities. In addition, health care providers must be aware of these determinants and must have the tools to address them in their individual relationships with patients. This article describes a partnership that arose out of the mutual recognition by a community organization and public hospital of the need to (a) teach physicians how to recognize the root causes of health disparities, (b) improve their cross-cultural understanding and communication, and (c) enhance their awareness of the capacity of community resources to positively impact their patients' lives.
医疗保健中的种族和族裔差异仍然是改善美国许多社区健康状况的主要障碍。必须针对健康差异的多种社会、经济和历史决定因素采取行动。此外，医疗保健提供者必须了解这些决定因素，并且必须具备在与患者的个人关系中解决这些问题的工具。本文介绍了一个社区组织和公立医院相互认识到有必要（a）教导医生如何识别健康差异的根本原因，（b）提高他们的跨文化理解和沟通能力，以及（c）增强他们对社区资源对患者生活产生积极影响的能力的认识后而形成的合作伙伴关系。
