Chen Moon S
School of Medicine, University of California, Davis.
J Health Dispar Res Pract. 2010 Oct 1;4(2):88-99.
If the definition of eliminating of a health disparity were signified by the absence of any differences in incidence or mortality between a population's experiences with a health problem, then the only health disparity that has ever been eliminated is smallpox because with zero cases of smallpox in the world, no health disparities exist because of smallpox. The eradication of smallpox is perhaps the only historical example where the elimination of a health disparity has been achieved. Principles and lessons learned, particularly through the intersection of science and policy that could be applied to the elimination of other health disparities both domestically and internationally are proposed.
如果消除健康差距的定义是在一个人群面对健康问题时的发病率或死亡率不存在任何差异,那么有史以来唯一被消除的健康差距就是天花,因为世界上天花病例为零,也就不存在因天花导致的健康差距。天花的根除或许是实现消除健康差距的唯一历史范例。本文提出了一些原则和经验教训,尤其是通过科学与政策的交叉融合得出的,这些原则和经验教训可应用于在国内和国际上消除其他健康差距。