Ward Paul R
Department of Public Health, Flinders University, Adelaide, Australia.
Qual Prim Care. 2009;17(1):49-54.
This paper provides an 'equity lens' through which practitioners, policy makers and researchers can measure and monitor the equity of healthcare services provided. An argument is put forward which shows that services need to be assessed in terms of inequities, as opposed to the more often used terms of inequalities or disparities. This is not just a semantic argument, rather it is based on the foundations that service provision should be socially just. The paper then outlines some of the key domains involved in measuring the equity of health care--access, need and utilisation. The paper concludes with some of the reasons for the current equity problems in healthcare services and suggestions for ways forward in terms of developing more equitable healthcare services.
本文提供了一个“公平视角”,从业者、政策制定者和研究人员可借此衡量和监测所提供医疗服务的公平性。文中提出一种观点,即服务需要根据不公平性进行评估,而非更常用的不平等或差异等术语。这不仅是语义上的争论,而是基于服务提供应具有社会公正性的基础。接着,本文概述了衡量医疗公平性所涉及的一些关键领域——可及性、需求和利用情况。文章最后阐述了当前医疗服务公平性问题存在的一些原因,并就如何发展更公平的医疗服务提出了前进方向的建议。