G. Corbie is Kenan Distinguished Professor, Department of Social Medicine and Department of Medicine, and director, Center for Health Equity Research, University of North Carolina School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
K. Brandert is assistant dean of practice and assistant professor, Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska.
Acad Med. 2022 Dec 1;97(12):1746-1752. doi: 10.1097/ACM.0000000000004851. Epub 2022 Nov 23.
Enduring questions about equity are front and center at this watershed moment in health care and public health. Inequities that became evident in the COVID-19 pandemic in 2020 have highlighted long-standing disparities in health by race and ethnicity. Current crises require examining and reorienting the systems that have, for decades, produced these health inequities; yet, public health and health care leaders are inadequately prepared to respond. The authors offer an equity-centered leadership framework to support the development of visionary leaders for tomorrow. This framework for leadership development programs interweaves traditional leadership and equity, diversity, and inclusion domains in both conceptual knowledge and skills-based teaching for health care and public health leaders, grouping competencies and skills into 4 domains: personal, interpersonal, organizational, and community and systems. A framework such as this will equip leaders with the mindset and skill set to challenge the paradigms that lead to inequity and health disparities.
在医疗保健和公共卫生的这个关键时刻，关于公平的持久问题成为焦点。2020 年 COVID-19 大流行中出现的不平等现象突显了长期存在的种族和族裔健康差异。当前的危机要求审视和调整几十年来造成这些健康不平等的系统；然而，公共卫生和医疗保健领导人对此准备不足。作者提供了一个以公平为中心的领导框架，以支持培养有远见的未来领导者。该领导力发展框架将传统领导力与公平、多样性和包容性领域交织在一起，为医疗保健和公共卫生领导者提供概念知识和基于技能的教学，将能力和技能分为四个领域：个人、人际、组织和社区及系统。这样的框架将使领导者具备思维模式和技能，以挑战导致不平等和健康差距的范式。
