University of North Carolina at Chapel Hill School of Medicine, Department of Internal Medicine, 506 Berryhill Hall, Chapel Hill, NC 27599, USA.
Acad Med. 2012 Jun;87(6):684-6. doi: 10.1097/ACM.0b013e318253b29b.
A study by Peek and colleagues in this issue reveals that although racial and ethnic health disparities are recognized as a major national challenge, few physician organizations with both the influence and ability to change practice standards and address disparities appear to be effectively directing their resources to mitigate health disparities. In this commentary, the author examines the history of U.S. health disparities through the lens of social justice. He argues that today, physician organizations have the opportunity to change the paradigm of medicine from being a reactive industry to becoming a proactive industry through collaborations such as the Commission to End Health Disparities, which brings together more than 60 organizations, and the National Medical Association's "We Stand With You" program to improve health and combat disparities. Physician organizations can also address health disparities through advocacy for fair reimbursement policies, funding for pipeline programs to increase the diversity of the workforce, diversity in clinical trials, and other issues. Health disparities present to us in organized medicine a challenge that is cleverly disguised as an immovable object but that is truly a great opportunity for innovation, improvement, and growth. Physician organizations have a unique opportunity to provide avenues of innovation and accomplishment.
皮克（Peek）及其同事在本期杂志中的一项研究表明，尽管种族和民族健康差异已被公认为是一个重大的国家挑战，但似乎很少有具有影响力和能力来改变实践标准并解决差异的医师组织，有效地将其资源用于减轻健康差异。在这篇评论中，作者通过社会正义的视角审视了美国健康差异的历史。他认为，如今，医师组织有机会通过合作来改变医学的模式，从反应性行业转变为主动性行业，例如终止健康差异委员会（Commission to End Health Disparities），该委员会汇集了 60 多个组织，以及全国医师协会（National Medical Association）的“我们与你站在一起”（We Stand With You）计划，以改善健康并消除差异。医师组织还可以通过倡导公平的报销政策、为增加劳动力多样性的人才培养计划提供资金、临床试验中的多样性以及其他问题来解决健康差异。健康差异在我们的组织医学中提出了一个挑战，这个挑战巧妙地伪装成一个不可移动的物体，但实际上是创新、改进和发展的绝佳机会。医师组织有独特的机会提供创新和成就的途径。
