Boyer Beth, Huber Katie, Zimlichman Eyal, Saunders Robert, McClellan Mark, Kahn Charles, Noach Ryan, Salzberg Claudia
Duke-Margolis Institute for Health Policy, Duke University, Durham, NC 27708, United States.
Sheba Medical Center, Ramat Gan 52621, Israel.
Health Aff Sch. 2024 Aug 9;2(8):qxae094. doi: 10.1093/haschl/qxae094. eCollection 2024 Aug.
Disparities in access to health care are persistent and contribute to poor health outcomes for many populations around the world. Barriers to access are often similar across countries, despite differences in how health systems are structured. Health care leaders can work to address these barriers through bold, evidence-based actions. The Future of Health (FOH), an international community of senior health leaders, collaborated with the Duke-Margolis Institute for Health Policy to identify priority organizational and policy actions needed to improve equitable access to health care through a consensus-building exercise, a targeted literature review, and an expert discussion group. This paper describes four key action areas for health care leaders that FOH members identified as critical to enabling the future of equitable access to health care: ensuring prioritization of and accountability for equitable access to care; establishing comprehensive, organization-wide strategies to address barriers to access; clearly defining and incentivizing improvement on key measures related to reducing disparities in access; and establishing cross-sector partnerships to improve equitable access.
医疗保健可及性方面的差距长期存在，导致全球许多人群的健康状况不佳。尽管各国卫生系统的结构存在差异，但获得医疗服务的障碍往往相似。医疗保健领导者可以通过大胆的、基于证据的行动来努力消除这些障碍。“健康未来”（FOH）是一个由资深医疗保健领导者组成的国际团体，它与杜克-马戈利斯健康政策研究所合作，通过开展共识构建活动、有针对性的文献综述以及专家讨论小组，确定改善医疗保健公平可及性所需的优先组织行动和政策行动。本文介绍了“健康未来”成员确定的对实现公平医疗保健可及性未来至关重要的四个关键行动领域：确保对公平医疗服务可及性的优先重视和问责制；制定全面的全组织战略以消除获得医疗服务的障碍；明确定义并激励在与减少可及性差距相关的关键指标上取得改善；建立跨部门伙伴关系以改善公平可及性。
