Department of Orthopaedic Surgery, Western Michigan University Homer Styker M.D. School of Medicine, Kalamazoo, Michigan.
Department of Anesthesiology and Critical Care Medicine, University of New Mexico, Albuquerque, New Mexico.
J Bone Joint Surg Am. 2024 Aug 21;106(16):1529-1534. doi: 10.2106/JBJS.23.01056. Epub 2024 Apr 4.
Promoting equitable health care is to ensure that everyone has access to high-quality medical services and appropriate treatment options. The definition of health equity often can be misinterpreted, and there are challenges in fully understanding the disparities and costs of health care and when measuring the outcomes of treatment. However, these topics play an important role in promoting health equity. The COVID-19 pandemic has made us more aware of profound health-care disparities and systemic racism, which, in turn, has prompted many academic medical centers and health-care systems to increase their efforts surrounding diversity, equity, and inclusion. Therefore, it is important to understand the problems that some patients have in accessing care, promote health care that is culturally competent, create policies and standard operating procedures (at the federal, state, regional, or institutional level), and be innovative to provide cost-effective care for the underserved population. All of these efforts can assist in promoting equitable care and thus result in a more just and healthier society.
促进公平的医疗保健是为了确保每个人都能获得高质量的医疗服务和适当的治疗选择。健康公平的定义常常被误解,而且在充分了解医疗保健的差异和成本以及衡量治疗结果方面存在挑战。然而,这些主题在促进健康公平方面发挥着重要作用。COVID-19 大流行使我们更加意识到深刻的医疗保健差异和系统性种族主义,这反过来又促使许多学术医疗中心和医疗保健系统加大了在多样性、公平和包容方面的努力。因此,了解一些患者在获得医疗保健方面存在的问题、促进具有文化能力的医疗保健、制定政策和标准操作程序(在联邦、州、地区或机构层面)以及创新以提供负担得起的医疗服务给服务不足的人群是很重要的。所有这些努力都有助于促进公平的医疗保健,从而使社会更加公正和健康。