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推进放射医学健康公平的实用方法,来自 DEI 特刊系列。

Practical Approaches to Advancing Health Equity in Radiology, From the Special Series on DEI.

机构信息

Universidad Central del Caribe School of Medicine, Bayamón, PR.

Department of Radiology, Massachusetts General Hospital, 55 Fruit St, AUS-202, Boston, MA 02114.

出版信息

AJR Am J Roentgenol. 2023 Jul;221(1):7-16. doi: 10.2214/AJR.22.28783. Epub 2023 Jan 11.

Abstract

Despite significant advances in health care, many patients from medically under-served populations are impacted by existing health care disparities. Radiologists are uniquely positioned to decrease health disparities and advance health equity efforts in their practices. However, literature on practical tools for advancing radiology health equity efforts applicable to a wide variety of patient populations and care settings is lacking. Therefore, this article seeks to equip radiologists with an evidence-based and practical knowledge tool kit of health equity strategies, presented in terms of four pillars of research, clinical care, education, and innovation. For each pillar, equity efforts across diverse patient populations and radiology practice settings are examined through the lens of existing barriers, current best practices, and future directions, incorporating practical examples relevant to a spectrum of patient populations. Health equity efforts provide an opportune window to transform radiology through personalized care delivery that is responsive to diverse patient needs. Guided by compassion and empathy as core principles of health equity, the four pillars provide a helpful framework to advance health equity efforts as a step toward social justice in health.

摘要

尽管医疗保健取得了重大进展,但许多来自医疗服务不足人群的患者仍受到现有医疗保健差距的影响。放射科医生在减少医疗保健差距和在其实践中推进医疗公平方面具有独特的地位。然而,缺乏适用于各种患者群体和护理环境的推进放射学公平努力的实用工具的相关文献。因此,本文旨在为放射科医生提供一个基于证据和实用的知识工具包,其中包含了健康公平策略,这些策略以研究、临床护理、教育和创新四大支柱呈现。对于每个支柱,通过现有障碍、当前最佳实践和未来方向的视角,考察了不同患者群体和放射科实践环境中的公平努力,纳入了与一系列患者群体相关的实际示例。公平努力为通过响应不同患者需求的个性化护理提供了一个变革放射科的契机。以同情心和同理心作为公平的核心原则为指导,四大支柱为推进公平努力提供了一个有用的框架,这是实现健康领域社会正义的一步。

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