Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Ann Fam Med. 2022 Mar-Apr;20(2):164-169. doi: 10.1370/afm.2785. Epub 2022 Feb 14.
The COVID-19 pandemic highlighted the importance of centering health equity in future health system and primary care reforms. Strengthening primary care will be needed to correct the longstanding history of mistreatment of First Nations/Indigenous and racialized people, exclusion of health care workers of color, and health care access and outcome inequities further magnified by the COVID-19 pandemic. The National Academies of Sciences, Engineering, and Medicine (NASEM) released a report on , that provided a framework for defining high-quality primary care and proposed 5 recommendations for implementing that definition. Using the report's framework, we identified health equity challenges and opportunities with examples from primary care systems in the United States and Canada. We are poised to reinvigorate primary care because the recent pandemic and the attention to continued racialized police violence sparked renewed conversations and collaborations around equity, diversity, inclusion, and health equity that have been long overdue. The time to transition those conversations to actionable items to improve the health of patients, families, and communities is now.Appeared as "Online First" article.
新冠疫情凸显了将卫生公平置于未来卫生系统和初级保健改革核心的重要性。为了纠正长期以来对第一民族/原住民和少数族裔人群的虐待、排斥有色人种医护人员以及因新冠疫情而进一步加剧的医疗保健获取和结果不平等现象,加强初级保健将是必要的。美国国家科学院、工程院和医学院(NASEM)发布了一份关于这一主题的报告,该报告为定义高质量初级保健提供了一个框架,并提出了实施该定义的 5 项建议。我们使用该报告的框架,通过美国和加拿大的初级保健系统的例子,确定了卫生公平方面的挑战和机遇。我们准备重振初级保健,因为最近的疫情以及对持续的种族化警察暴力的关注,引发了围绕公平、多样性、包容性和卫生公平的新一轮对话和合作,这些对话和合作早就应该进行了。现在是将这些对话转化为改善患者、家庭和社区健康的可行措施的时机。作为“在线首发”文章出现。