Children's Memorial Hospital, Northwestern University Feinberg School of Medicine, 2300 Children's Plaza Box # 43, Chicago, IL 60614, USA.
Paediatr Respir Rev. 2012 Mar;13(1):57-62. doi: 10.1016/j.prrv.2011.05.004. Epub 2011 Jun 8.
Identifying that health inequalities exist is not enough; nor does the knowledge that a patient has a high-risk genotype or comes from a higher risk socioeconomic background does not, by itself, help the patient. To thoroughly examine the origins of health disparities, a broad view of environmental and molecular influences must be included. As these factors are identified, it is important to focus on interventions that can change outcomes for patients. Tools for education, community involvement, literacy, and environmental safety need to be developed, tested and disseminated. The basic science of health disparities must move forward in a coordinated fashion by structuring research that is an integrated effort between basic sciences, clinical medicine and include all traditionally underserved communities. Only through these collaborations can we hope to eliminate health inequalities in the future.
仅仅认识到健康不平等的存在是不够的;仅仅知道患者具有高风险基因型或来自高风险社会经济背景本身并不能帮助患者。要彻底研究健康差异的起源,必须包括对环境和分子影响的广泛看法。随着这些因素的确定,重要的是要关注可以改变患者结局的干预措施。需要开发、测试和传播教育、社区参与、扫盲和环境安全工具。健康差异的基础科学必须通过构建基础科学、临床医学之间的综合努力的研究来协调推进,并纳入所有传统上服务不足的社区。只有通过这些合作,我们才有希望在未来消除健康不平等。