Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, Illinois
Ann Fam Med. 2021 Jan-Feb;19(1):63-65. doi: 10.1370/afm.2630.
To date, short-term funding and policy fixes for the coronavirus disease 2019 (COVID-19) pandemic have focused on saving the current health care system; policies have not maximized the population's health, prioritized the safety net, nor addressed the fundamental problems that have hindered our nation's response for our most vulnerable neighbors. We need to plan more lasting equity-specific reforms now. I explain 3 lessons that should inform reforms to the health care delivery and payment systems to reduce health disparities and maximize the public's health: (1) Proven roadmaps and processes for reducing health care disparities already exist, as do themes of successful interventions. Implement them; (2) Payment reform needs to create a business case for health care organizations to address social determinants of health and implement care interventions to reduce health disparities; (3) We as a nation need to have hard conversations about whether we truly value the opportunity for everyone to have a healthy life.
迄今为止,针对 2019 冠状病毒病(COVID-19)大流行的短期资金和政策措施侧重于拯救当前的医疗保健系统;这些政策没有将民众的健康最大化,没有将安全网放在优先位置,也没有解决阻碍我们国家为最脆弱的邻居做出反应的根本问题。我们现在需要规划更持久的、具体的公平改革。我解释了 3 个经验教训,这些经验教训应该为医疗服务提供和支付系统的改革提供信息,以减少健康差距,最大化公众的健康:(1)已经存在减少医疗保健差距的既定路线图和流程,以及成功干预的主题。实施这些措施;(2)支付改革需要为医疗保健组织创造一个商业案例,以解决健康的社会决定因素,并实施护理干预措施,以减少健康差距;(3)作为一个国家,我们需要坦诚地讨论我们是否真的重视每个人都有健康生活的机会。