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妇女的医疗质量和公平性差距:心血管医学中性别差异的归因。

Quality and Equitable Health Care Gaps for Women: Attributions to Sex Differences in Cardiovascular Medicine.

机构信息

Emory University School of Medicine, Atlanta, Georgia.

University of Florida, Gainesville, Florida.

出版信息

J Am Coll Cardiol. 2017 Jul 18;70(3):373-388. doi: 10.1016/j.jacc.2017.05.051.

Abstract

The present review synthesizes evidence and discusses issues related to health care quality and equity for women, including minority population subgroups. The principle of "sameness" or women and men receiving equitable, high-quality care is a near-term target, but optimal population health cannot be achieved without consideration of the unique, gendered structural determinants of health and the development of unique care pathways optimized for women. The aim of this review is to promote enhanced awareness, develop critical thinking in sex and gender science, and identify strategic pathways to improve the cardiovascular health of women. Delineation of the components of high-quality health care, including a women-specific research agenda, remains a vital part of strategic planning to improve the lives of women at risk for or living with cardiovascular disease.

摘要

本综述综合了证据,并讨论了与妇女保健质量和公平性相关的问题,包括少数人群亚组。“相同性”原则,即妇女和男子获得平等、高质量的护理,是近期目标,但如果不考虑健康的独特性别结构决定因素以及为妇女制定最佳护理途径,就无法实现最佳人口健康。本综述的目的是提高认识,培养对性别科学的批判性思维,并确定改善妇女心血管健康的战略途径。确定高质量医疗保健的组成部分,包括特定于妇女的研究议程,仍然是改善有或患有心血管疾病风险的妇女生活的战略规划的重要组成部分。

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