Obstetrics and Gynecology and Public Health, Center of Excellence in Women's Health, The University of Arizona, Tucson, Arizona, USA.
J Womens Health (Larchmt). 2010 Apr;19(4):671-80. doi: 10.1089/jwh.2009.1627.
Following the initial wave of federal support to address women's health, there is a need to assess successes and determine the next priorities to advance the health of women. The objective of this study was to systematically collect expert opinion on the major advances in women's health in the past decade and priorities for women's health research and service in the coming decade.
We utilized a Delphi method to query the leadership from academic and community Centers of Excellence in Women's Health, as designated by the Department of Health and Human Services. Leaders from 36 of the 48 centers responded to a series of questions about the major advances and critical indicators to evaluate future needs in women's health. We utilized a social ecology model framework to organize the responses to each question.
The experts identified increased health education for women and increased empowerment of women across multiple spheres as the major advances positively impacting the health of women. The experts selected the following areas as the most important indicators to measure the status of the health of women in the future: health education and promotion, rates and impact of interpersonal violence against women, and access to healthcare. The major advances and measures of the health of women did not focus on specific changes to individual women in illness management, clinical care, or individual behavioral change.
As we move to address health reform, we must be able to recognize and incorporate a broad perspective on public health and policy initiatives critical to the health and wellness of women and girls and, therefore, central to the well-being of the nation.
在联邦政府最初支持解决妇女健康问题的浪潮之后，有必要评估取得的成功并确定下一个优先事项，以促进妇女健康。本研究的目的是系统地收集专家对过去十年中妇女健康方面的重大进展的意见，以及未来十年中妇女健康研究和服务的优先事项。
我们利用德尔菲法向美国卫生与公众服务部指定的学术和社区妇女健康卓越中心的领导层查询。来自 36 个中心中的 48 个中心的领导对一系列关于过去十年中妇女健康的重大进展和关键指标问题作出了回应，以评估未来妇女健康的需求。我们利用社会生态学模型框架来组织对每个问题的回应。
专家们确定，妇女健康教育的增加和妇女在多个领域的赋权是积极影响妇女健康的重大进展。专家们选择以下领域作为衡量未来妇女健康状况的最重要指标：健康教育和促进、妇女遭受人际暴力的发生率和影响，以及获得医疗保健的机会。妇女健康的重大进展和衡量标准并没有关注到妇女在疾病管理、临床护理或个人行为改变方面的具体变化。
在我们着手解决医疗改革问题时，我们必须能够认识到并纳入对妇女和女孩健康和福利至关重要的公共卫生和政策倡议的广泛视角，因此，这也是国家福祉的核心。
