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重新审视初级保健在实现健康公平方面的关键作用:皮萨卡诺学者在第二届斯塔菲尔德峰会上的思考

Revisiting Primary Care's Critical Role in Achieving Health Equity: Pisacano Scholars' Reflections from Starfield Summit II.

作者信息

Park Brian, Coutinho Anastasia J, Doohan Noemi, Jimenez Jonathan, Martin Sara, Romano Max, Wohler Diana, DeVoe Jennifer

机构信息

From the Combined Family Medicine & Preventive Medicine Residency (BP) and the Department of Family Medicine (JD), Oregon Health & Science University, Portland; the Santa Rosa Family Medicine Residency, Santa Rosa, CA (AJC; SM); the Department of Family and Community Medicine, University of California-Davis, Sacramento (ND); the Duke University Family Medicine Residency, Durham, NC (JJ); Bloomberg School of Public Health - General Preventive Medicine Residency, Johns Hopkins University, Baltimore, MD (MR); MedStar Franklin Square Medical Center, Baltimore (MR); the Brown Family Medicine Residency Program, Memorial Hospital of Rhode Island, Pawtucket (DW).

出版信息

J Am Board Fam Med. 2018 Mar-Apr;31(2):292-302. doi: 10.3122/jabfm.2018.02.170256.

DOI:10.3122/jabfm.2018.02.170256
PMID:29535248
Abstract

The second Starfield Summit was held in Portland, Oregon, in April 2017. The Summit addressed the role of primary care in advancing health equity by focusing on 4 key domains: social determinants of health in primary care, vulnerable populations, economics and policy, and social accountability. Invited participants represented an interdisciplinary group of primary care clinicians, researchers, educators, policymakers, community leaders, and trainees. The Pisacano Leadership Foundation was one of the Summit sponsors and held its annual leadership symposium in conjunction with the Summit, enabling several Pisacano Scholars to attend the Summit. After the Summit, a small group of current and former Pisacano Scholars formed a writing group to highlight key themes and implications for action discussed at the Summit. The Summit resonated as a call to action for primary care to move beyond identifying existing health inequities and toward the development of interventions that advance health equity, through education, research, and enhanced community partnerships. In doing so, the Summit aimed to build on the foundational work of Dr. Starfield, challenging us to explore the significant role of primary care in truly achieving health equity.

摘要

第二届星际峰会于2017年4月在俄勒冈州波特兰市举行。峰会聚焦四个关键领域,探讨了初级保健在促进健康公平方面的作用:初级保健中的健康社会决定因素、弱势群体、经济与政策以及社会问责。受邀参会者代表了一个跨学科群体,包括初级保健临床医生、研究人员、教育工作者、政策制定者、社区领袖和学员。皮萨卡诺领导力基金会是峰会的赞助商之一,并与峰会同期举办了年度领导力研讨会,使得几位皮萨卡诺学者能够参加峰会。峰会结束后,一小群现任和前任皮萨卡诺学者组成了一个写作小组,以突出峰会讨论的关键主题和行动建议。峰会引发了行动呼吁,促使初级保健超越识别现有的健康不平等现象,通过教育、研究和加强社区伙伴关系,朝着制定促进健康公平的干预措施迈进。通过这样做,峰会旨在基于斯塔菲尔德博士的基础工作,促使我们探索初级保健在真正实现健康公平方面的重要作用。

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