Department of Research and Health Equity, Stanford Health Care, Menlo Park, CA.
Department of Research and Health Equity, Stanford Health Care, Menlo Park, CA.
Nurs Outlook. 2023 Sep-Oct;71(5):102032. doi: 10.1016/j.outlook.2023.102032. Epub 2023 Sep 6.
Although health equity is critically important for healthcare delivery, there are inconsistencies in its definitions or lack of definitions.
Develop a comprehensive understanding of health equity to guide nursing practice and healthcare policy.
Walker and Avant's concept analysis method was used to establish defining attributes, antecedents, consequences, and empirical referents of health equity.
Health equity defining attributes are grounded in ethical principles, the absence of unfair and avoidable differences, and fair and just opportunities to attain a person's full health potential. Health equity antecedents are categorized into environmental; financial or economic; law, politics, and policy; societal and structural; research; and digital and technology.
Health equity's antecedents are useful to distinguish health disparities from health outcomes resulting from individual preferences. To achieve health equity, organizations need to focus on addressing the antecedents.
尽管卫生公平对于医疗保健服务至关重要,但对于其定义并不一致,甚至存在缺失。
全面了解卫生公平,以指导护理实践和医疗保健政策。
采用沃克和阿凡特的概念分析方法,确定卫生公平的定义属性、前因、后果和经验参照。
卫生公平的定义属性基于伦理原则,即不存在不公平和可避免的差异,以及公平公正地获得个人全部健康潜力的机会。卫生公平的前因分为环境、财务或经济、法律、政治和政策、社会和结构、研究以及数字和技术。
卫生公平的前因有助于将卫生差异与个人偏好导致的健康结果区分开来。为了实现卫生公平,组织需要专注于解决前因。