Mahony Deborah, Jones Emily J
College of Nursing and Health Sciences, University of Massachusetts Boston, USA.
Nurs Sci Q. 2013 Jul;26(3):280-4. doi: 10.1177/0894318413489186.
The adoption of the Patient Protection and Affordable Care Act and the recent Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, have brought about a resurgence of interest in the social determinants of health as the basis for healthcare decisions in nursing education, research, and health policy. Nurses are positioned to be at the forefront of crucial healthcare reform to affect health outcomes and reduce health disparities profoundly. However, for nurses of the 21st century to improve the health of U.S. citizens and promote health equity effectively, we must first intently address the social determinants of health in our current nursing educational models, research agendas, and public health policies.
《患者保护与平价医疗法案》的通过以及医学研究所近期发布的报告《护理的未来:引领变革,促进健康》,引发了人们对健康的社会决定因素的再度关注,这些因素是护理教育、研究及卫生政策中医疗保健决策的基础。护士处于关键医疗改革的前沿位置,能够深刻影响健康结果并大幅减少健康差距。然而,要让21世纪的护士有效改善美国公民的健康状况并促进健康公平,我们必须首先认真解决当前护理教育模式、研究议程及公共卫生政策中的健康社会决定因素问题。