Govender V, Penn-Kekana L
Health Economics Unit, School of Public Health, University of Cape Town, South Africa.
Glob Public Health. 2008;3 Suppl 1:90-103. doi: 10.1080/17441690801892208.
A good interpersonal relationship between a patient and provider, as characterized by mutual respect, openness, and a balance in their respective roles in decision-making, is an important marker of quality of care. This review is undertaken from a gender and health equity perspective and illustrates that gender biases and discrimination occur at many levels in the healthcare delivery environment, and affects the patient-provider interaction which can result in health inequities affecting individual health seeking behaviour, access to good quality healthcare, and, ultimately, health outcomes. Interventions will have to be introduced at multiple levels, from health system legislation and policy and gender sensitive training to the development of women and men centred services and health literacy programmes.
患者与医疗服务提供者之间良好的人际关系,其特点是相互尊重、坦诚相待以及在决策中各自角色的平衡,是优质医疗服务的重要标志。本综述从性别与健康公平的角度进行阐述,表明在医疗服务提供环境中,性别偏见和歧视在多个层面存在,并影响患者与医疗服务提供者之间的互动,进而可能导致健康不公平现象,影响个人的就医行为、获得优质医疗服务的机会,最终影响健康结果。必须在多个层面采取干预措施,从卫生系统立法和政策、性别敏感培训到以妇女和男子为中心的服务及健康素养计划的制定。