Hills Marcia, Mullett Jennifer
University of Victoria, British Columbia, Canada.
Health Care Women Int. 2005 Apr;26(4):325-39. doi: 10.1080/07399330590925844.
It is well known that gender is a determinant of health, but less understood is whether differences in health status attributable to gender can be mitigated through the implementation of primary health care. Primary health care, notably distinct from primary care, refers to a wide-ranging approach to the delivery of a comprehensive variety of health services. This article traces the similarities between primary health care and women-centred care from their overlapping philosophical foundations to the similar health, social, and economic benefits of both approaches. It is argued that investments in primary health care positively impact women's health, and, as such, should be a preferred option for the delivery of women's community health services. Several models of health service delivery that operate in accordance with principles of primary health care and also address the key tenets of women's-centred care are examined and their merits are compared. The article also identifies the major impediments to the adoption of both primary health care and women's-centred care approaches.
众所周知,性别是健康的一个决定因素,但对于因性别导致的健康状况差异能否通过实施初级卫生保健来缓解,人们却知之甚少。初级卫生保健明显有别于初级保健,它指的是一种提供广泛多样的综合卫生服务的方法。本文追溯了初级卫生保健与以妇女为中心的保健之间的相似之处,从它们重叠的哲学基础到这两种方法在健康、社会和经济方面的相似益处。有人认为,对初级卫生保健的投资对妇女健康有积极影响,因此,应成为提供妇女社区卫生服务的首选方案。本文研究了几种按照初级卫生保健原则运作且也涉及以妇女为中心的保健关键宗旨的卫生服务提供模式,并比较了它们的优点。文章还确定了采用初级卫生保健和以妇女为中心的保健方法的主要障碍。