Diggs Schnequa N
Florida Atlantic University, USA.
J Health Care Finance. 2012 Summer;38(4):76-90.
For more than seven decades there has been a systematic disregard for the health needs of certain groups of individuals. Discrepancies in treatment and privilege based on race/ethnicity, gender, sexual orientation, class, and socio-economic status have been significant players in any portrait of American health care and have helped frame considerations of those who deserve and those undeserving of quality health care. Continuous incidences of inequitable health care practices strongly suggest a need for drastic changes in our current health care system. Although growing interest in social inequalities in health preside, health policy makers struggle to find appropriate intervention strategies to alleviate health disparities. The purpose of this article is to depict a clearer portrait of the American health care system within the context of health disparities and recognize intervention strategies to reduce/eliminate health care disparities. This article concludes with suggestions on how to refinance the American health care system based on equality principles.
七十多年来，某些群体的健康需求一直被系统地忽视。基于种族/族裔、性别、性取向、阶级和社会经济地位的治疗差异和特权差异，在美国医疗保健的任何描述中都扮演着重要角色，并影响了人们对哪些人应得高质量医疗保健、哪些人不应得的考量。不公平医疗保健行为的持续发生，强烈表明我们当前的医疗保健系统需要进行彻底变革。尽管人们对健康方面的社会不平等问题的兴趣与日俱增，但卫生政策制定者仍在努力寻找适当的干预策略来缓解健康差距。本文的目的是在健康差距的背景下，更清晰地描绘美国医疗保健系统，并认识到减少/消除医疗保健差距的干预策略。本文最后就如何基于平等原则为美国医疗保健系统重新融资提出了建议。
