Martinez-Bianchi Viviana, Frank Brian, Edgoose Jennifer, Michener Lloyd, Rodriguez Michael, Gottlieb Laura, Reddick Bonzo, Kelly Christina, Yu Kim, Davis Sarah, Carr Jewell, Lee Jay W, Smith Karen L, New Ronna D, Weida Jane
Duke University School of Medicine, Duke Community and Family Medicine.
Oregon Health & Science University.
Fam Med. 2019 Feb;51(2):198-203. doi: 10.22454/FamMed.2019.921819.
Achieving health equity requires an evaluation of social, economic, environmental, and other factors that impede optimal health for all. Family medicine has long valued an ecological perspective of health, partnering with families and communities. However, both the quantity and degree of continued health disparities requires that family medicine intentionally work toward improvement in health equity. In recognition of this, Family Medicine for America's Health (FMAHealth) formed a Health Equity Tactic Team (HETT). The team's charge was to address primary care's capacity to improve health equity by developing action-oriented approaches accessible to all family physicians. The HETT has produced a number of projects. These include the Starfield II Summit, the focus of which was "Primary Care's Role in Achieving Health Equity." Multidisciplinary thought leaders shared their work around health equity, and actionable interventions were developed. These formed the basis of subsequent work by the HETT. This includes the Health Equity Toolkit, designed for a broad interdisciplinary audience of learners to learn to improve care systems, reduce disparities, and improve patient outcomes. The HETT is also building a business case for health equity. This has focused efforts on demonstrating to the private sector an economic argument for health equity. The HETT has formed a close partnership with the American Academy of Family Physicians' (AAFP's) Center for Diversity and Health Equity (CDHE), collaborating on numerous efforts to increase awareness of health equity. The team has also focused on engaging leadership in all eight US national family medicine organizations to participate in its activities and to ensure that health equity remains a top priority in its leadership. Looking ahead, family medicine will be required to continuously engage with government and nongovernment agencies, academic centers, and the private sector to create partnerships to systematically tackle health inequities.
实现健康公平需要对阻碍所有人实现最佳健康的社会、经济、环境和其他因素进行评估。长期以来，家庭医学重视从生态角度看待健康，并与家庭和社区建立合作关系。然而，持续存在的健康差距在数量和程度上都要求家庭医学有意识地致力于改善健康公平。认识到这一点，美国健康家庭医学组织（FMAHealth）组建了一个健康公平策略团队（HETT）。该团队的任务是通过制定所有家庭医生都能采用的面向行动的方法，来解决初级保健改善健康公平的能力问题。HETT开展了多个项目。其中包括斯塔菲尔德二世峰会，其重点是“初级保健在实现健康公平中的作用”。多学科思想领袖分享了他们在健康公平方面的工作，并制定了可采取行动的干预措施。这些构成了HETT后续工作的基础。这包括健康公平工具包，它是为广大跨学科的学习者群体设计的，旨在学习如何改善医疗系统、减少差距并改善患者结局。HETT还在为健康公平构建商业案例。这集中努力向私营部门展示健康公平的经济论据。HETT与美国家庭医生学会（AAFP）的多样性与健康公平中心（CDHE）建立了密切的合作关系，在众多提高健康公平意识的工作中开展协作。该团队还专注于促使美国八个全国性家庭医学组织的领导层参与其活动，并确保健康公平在其领导层中仍然是首要任务。展望未来，家庭医学将需要持续与政府和非政府机构、学术中心以及私营部门合作，建立伙伴关系，以系统地解决健康不平等问题。
