American Medical Colleges, Washington, DC, USA.
Acad Med. 2012 Jun;87(6):689-90. doi: 10.1097/ACM.0b013e318253a152.
A research report in this issue of Academic Medicine by Peek and colleagues describes how physician organizations are mounting different initiatives targeted at reducing health disparities. The study emphasizes how these organizations are attempting to promote health equity through policies and programs focused on education, clinical care, research, and advocacy. They found that 68% of surveyed organizations have at least one initiative targeting health disparities.This commentary acknowledges the positive trend uncovered by Peek and colleagues which characterizes the engagement level of national physician organizations on this critical issue, and suggests four ways to enhance future efforts. First, health equity should be linked to overall quality of care and emerging initiatives aimed at transforming the delivery of health care. Second, the effect of such efforts can be magnified by evaluating what works and sharing best practices. Third, interventions must be targeted at institutions as well as individual physicians. Finally, it should be emphasized that the driving rationale for physicians to strive for health equity is the ethical imperative to promote justice in health care.
本期《学术医学》杂志上的一篇研究报告描述了医师组织正在发起各种针对减少健康差异的倡议。该研究强调了这些组织如何通过关注教育、临床护理、研究和宣传的政策和计划来努力促进健康公平。他们发现，接受调查的组织中有 68%至少有一项针对健康差异的倡议。
这篇评论承认了 Peek 及其同事发现的积极趋势，该趋势描述了国家医师组织在这个关键问题上的参与程度，并提出了增强未来努力的四种方法。首先，应将健康公平与整体医疗质量和旨在改变医疗保健提供方式的新举措联系起来。其次，通过评估有效的方法和分享最佳实践，可以放大这些努力的效果。第三，干预措施必须针对医疗机构和个体医生。最后，应强调，医生努力争取健康公平的根本理由是促进医疗保健公正的道德义务。
