Department of Primary care and Public Health, Imperial College London, South Kensington, UK.
Department for Gender, Equity and Human Rights, Director General's Office, World Health Organisation Headquarters, Geneva, Switzerland.
Int J Equity Health. 2022 Nov 2;21(1):152. doi: 10.1186/s12939-022-01779-1.
The health inequities faced by populations experiencing racial discrimination, including indigenous peoples and people of African descent, Roma, and other ethnic minorities, are an issue of global concern. Health systems have an important role to play in tackling these health inequities. Health systems based on comprehensive Primary Health Care (PHC) are best placed to tackle health inequities because PHC encompasses a whole-of-society approach to health. PHC includes actions to address the wider social determinants of health, multisectoral policy and action, intercultural and integrated healthcare services, community empowerment, and a focus on addressing health inequities. PHC can also serve as a platform for introducing specific actions to tackle racial discrimination and can act to drive wider societal change for tackling racial and ethnic health inequities.
面临种族歧视的人群,包括土著人民和非洲裔人、罗姆人和其他少数民族,所面临的健康不平等问题是全球关注的问题。卫生系统在解决这些健康不平等方面可以发挥重要作用。基于综合初级卫生保健(PHC)的卫生系统最适合解决健康不平等问题,因为 PHC 涵盖了全社会对健康的关注。PHC 包括采取行动解决更广泛的社会决定因素、多部门政策和行动、跨文化和综合医疗保健服务、社区赋权以及解决健康不平等问题的重点。PHC 还可以作为引入具体行动以解决种族歧视的平台,并可以采取行动推动更广泛的社会变革,以解决种族和族裔健康不平等问题。