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实现健康公平的策略:关注整体加关注漏洞。

Strategies for Achieving Health Equity: Concern about the Whole Plus Concern about the Hole.

机构信息

Morehouse School of Medicine, Atlanta, Georgia.

出版信息

Ethn Dis. 2019 Jun 13;29(Suppl 2):345-348. doi: 10.18865/ed.29.S2.345. eCollection 2019.

Abstract

Health equity is a process, assurance of the conditions for optimal health for all people, which requires valuing all individuals and populations equally, recognizing and rectifying historical injustices, and providing resources according to need. At the heart of health equity is concern about the whole of society, not just a single individual or group. Also, at the heart of health equity is concern about the holes in society, about gaps of opportunity and gaps of being valued that are experienced by many. Strategies to achieve health equity that reflect concern about the w(hole) require the examination of a practical roadmap that combines citizenship (WHOLE) with a gap analysis (HOLE). This shorthand of operationalizing health equity as concern about the (w)hole may prove to be useful in generating further strategies for achieving health equity.

摘要

健康公平是一个过程,是确保所有人获得最佳健康的条件,它需要平等对待所有个人和群体,承认和纠正历史上的不公正,并根据需要提供资源。健康公平的核心是关注整个社会,而不仅仅是单个个人或群体。此外,健康公平的核心还在于关注社会中的缺陷,关注许多人所经历的机会差距和被重视程度的差距。反映对整体关注的实现健康公平的战略需要审查一个实用的路线图,将公民身份(WHOLE)与差距分析(HOLE)相结合。将健康公平定义为对整体的关注的这种简化可能有助于生成实现健康公平的进一步策略。

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本文引用的文献

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Systems of power, axes of inequity: parallels, intersections, braiding the strands.
Med Care. 2014 Oct;52(10 Suppl 3):S71-5. doi: 10.1097/MLR.0000000000000216.

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