Health Aff (Millwood). 2017 Jun 1;36(6):976-977. doi: 10.1377/hlthaff.2017.0393.
Health disparities-differences in health status, treatment, or outcomes-exist between racial and ethnic minorities; people with low socioeconomic status; lesbian, gay, bisexual, and transgender people; women; people with disabilities; and others, compared with majority populations. Improved insurance coverage and targeted efforts by health care systems have narrowed some disparities, but many gaps remain. There is a growing recognition that interventions outside the health care sector that address social determinants of health such as housing, employment, and education are also needed. The effects of interventions in these areas are of interest to health services researchers. Innovative cross-sector approaches that improve health through medical and nonmedical interventions hold promise for further reducing health disparities.
健康差异——在健康状况、治疗或结果方面的差异——存在于少数族裔和少数民族之间;社会经济地位低的人;女同性恋、男同性恋、双性恋和跨性别者;女性;残疾人和其他人与多数人群之间。改善保险覆盖范围和医疗保健系统的有针对性的努力缩小了一些差距,但仍存在许多差距。人们越来越认识到,需要在医疗保健部门之外采取干预措施,解决住房、就业和教育等健康决定因素。这些领域的干预措施的效果引起了卫生服务研究人员的兴趣。通过医疗和非医疗干预措施改善健康的创新跨部门方法有望进一步减少健康差异。