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通过文化能力减少军队中的医疗保健差异。

Reducing healthcare disparities in the military through cultural competence.

作者信息

Harris G L A

机构信息

Mark O Hatfield School of Government, Portland State University, USA.

出版信息

J Health Hum Serv Adm. 2011 Fall;34(2):145-81.

Abstract

Healthcare disparities are fast encroaching upon equal access healthcare systems like the military. While this growth has been attributed to the same antecedents as those found in the general civilian population, four additional assumptions are posited as contributing factors to healthcare disparities that are peculiar to the military. Research on certain segments of the veteran population in the Veterans Administration (VA) is profiled as the most analogous healthcare system to that of the military's and a meta-analysis of studies on similar populations in the military are also examined. Like the general civilian population, cultural competence is viewed as an imperative component of healthcare delivery to help to narrow the healthcare disparities gap between majority (men and whites) and minority (women and nonwhites) populations in the military.

摘要

医疗保健差距正在迅速侵蚀像军队这样的平等医疗保健体系。虽然这种增长归因于与普通平民人口相同的先行因素,但另外提出了四个假设,作为军队特有的医疗保健差距的促成因素。退伍军人事务部(VA)对特定退伍军人群体的研究被描述为与军队医疗保健体系最相似的体系,同时也对军队中类似人群的研究进行了荟萃分析。与普通平民人口一样,文化能力被视为医疗保健服务的一个必要组成部分,有助于缩小军队中多数群体(男性和白人)与少数群体(女性和非白人)之间的医疗保健差距。

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