Washington Donna L, Bowles Jacqueline, Saha Somnath, Horowitz Carol R, Moody-Ayers Sandra, Brown Arleen F, Stone Valerie E, Cooper Lisa A
Division of General Internal Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
J Gen Intern Med. 2008 May;23(5):685-91. doi: 10.1007/s11606-007-0481-0. Epub 2008 Jan 15.
Racial-ethnic minorities receive lower quality and intensity of health care compared with whites across a wide range of preventive, diagnostic, and therapeutic services and disease entities. These disparities in health care contribute to continuing racial-ethnic disparities in the burden of illness and death. Several national medical organizations and the Institute of Medicine have issued position papers and recommendations for the elimination of health care disparities. However, physicians in practice are often at a loss for how to translate these principles and recommendations into specific interventions in their own clinical practices. This paper serves as a blueprint for translating principles for the elimination of racial-ethnic disparities in health care into specific actions that are relevant for individual clinical practices. We describe what is known about reducing racial-ethnic disparities in clinical practice and make recommendations for how clinician leaders can apply this evidence to transform their own practices.
与白人相比,在广泛的预防、诊断和治疗服务以及疾病种类方面,少数族裔获得的医疗保健质量和强度较低。这些医疗保健方面的差异导致了疾病负担和死亡率方面持续存在的种族差异。几个国家医学组织和医学研究所已经发布了立场文件和消除医疗保健差异的建议。然而,实际工作中的医生常常不知道如何将这些原则和建议转化为自己临床实践中的具体干预措施。本文作为一个蓝图,将消除医疗保健中种族差异的原则转化为与个体临床实践相关的具体行动。我们描述了在临床实践中减少种族差异的已知情况,并就临床领导者如何应用这些证据来改变他们自己的实践提出建议。