Frist William H
United States Senate, USA.
Health Aff (Millwood). 2005 Mar-Apr;24(2):445-51. doi: 10.1377/hlthaff.24.2.445.
Disparities in U.S. health care result from a complex mixture of systemic quality and access problems intertwined with historic injury. The many dimensions of health disparities include race, ethnicity, socioeconomic status, and geography. It is critically important for policymakers to define the problem correctly so that our solutions address their intended goal-health security for all regardless of socioeconomic characteristics. Further, U.S. efforts to eliminate disparities must also be part of a broader effort to transform health care and thus must focus, first and foremost, on improving the quality of care delivered to the individual patient.
美国医疗保健方面的差异源于系统性质量和可及性问题与历史伤痛交织而成的复杂混合体。健康差异的诸多层面包括种族、族裔、社会经济地位和地理位置。对政策制定者而言,正确界定问题至关重要,这样我们的解决方案才能实现其预期目标——为所有人提供健康保障,无论其社会经济特征如何。此外,美国消除差异的努力也必须成为医疗保健转型这一更广泛努力的一部分,因此必须首先专注于提高为个体患者提供的医疗服务质量。