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推进医疗改革:美国心脏协会 2020 年关于充足、可及和负担得起的医疗保健的原则声明:美国心脏协会的总统咨询意见。

Advancing Healthcare Reform: The American Heart Association's 2020 Statement of Principles for Adequate, Accessible, and Affordable Health Care: A Presidential Advisory From the American Heart Association.

出版信息

Circulation. 2020 Mar 10;141(10):e601-e614. doi: 10.1161/CIR.0000000000000759. Epub 2020 Feb 3.

DOI:10.1161/CIR.0000000000000759
PMID:32008369
Abstract

The mission of the American Heart Association is to be a relentless force for a world of longer, healthier lives. The American Heart Association has consistently prioritized the needs and perspective of the patient in taking positions on healthcare reform while recognizing the importance of biomedical research, providers, and healthcare delivery systems in advancing the care of patients and the prevention of disease. The American Heart Association's vision for healthcare reform describes the foundational changes needed for the health system to serve the best interests of patients and to achieve health care and coverage that are adequate, accessible, and affordable for everyone living in the United States. The American Heart Association is committed to advancing the dialogue around healthcare reform and has prepared this updated statement of our principles, placed in the context of the advances in coverage and care that have occurred after the passage of the Affordable Care Act, the rapidly changing landscape of healthcare delivery systems, and our evolving recognition that efforts to prevent cardiovascular disease can have synergistic benefit in preventing other diseases and improving overall well-being. These updated principles focus on expanding access to affordable health care and coverage; enhancing the availability of evidence-based preventive services; eliminating disparities that limit the availability and equitable delivery of health care; strengthening the public health infrastructure to respond to social determinants of health; prioritizing and accelerating investments in biomedical research; and growing a diverse, culturally competent health and healthcare workforce prepared to meet the challenges of delivering high-value health care.

摘要

美国心脏协会的使命是成为一股强大的力量,致力于为人们创造更长寿、更健康的生活。美国心脏协会在制定医疗改革立场时始终优先考虑患者的需求和观点,同时认识到生物医学研究、医疗机构和医疗服务体系在推进患者护理和疾病预防方面的重要性。美国心脏协会对医疗改革的愿景描述了医疗体系需要进行的基础性变革,以符合患者的最大利益,并实现为每个居住在美国的人提供充足、可及且负担得起的医疗保健和覆盖。美国心脏协会致力于推进医疗改革的对话,并为此更新了我们的原则声明,将其置于《平价医疗法案》通过后覆盖范围和护理方面的进展、医疗服务体系迅速变化的格局以及我们不断认识到预防心血管疾病的努力可以在预防其他疾病和改善整体健康方面产生协同效益的背景下。这些更新后的原则侧重于扩大负担得起的医疗保健和覆盖范围;增强提供循证预防服务的能力;消除限制医疗保健获取和公平提供的差距;加强公共卫生基础设施,以应对健康的社会决定因素;优先和加速对生物医学研究的投资;并培养多元化、有文化能力的卫生和医疗保健劳动力,以应对提供高价值医疗保健的挑战。

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