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界定健康公平:美国现代视角

Defining health equity: A modern US perspective.

作者信息

Prentice Kristen R, Beitelshees Marie, Hill Andrew, Jones Charles H

机构信息

Department of Exceptional Student Education, University of South Florida, Tampa, FL, USA.

Bulmore Consulting, Lockport, NY 14094, USA.

出版信息

iScience. 2024 Nov 5;27(12):111326. doi: 10.1016/j.isci.2024.111326. eCollection 2024 Dec 20.

Abstract

Health equity is a concept that has gained increasing attention and relevance in the context of the COVID-19 pandemic, which has exposed and exacerbated the health disparities and inequities among different population groups in the United States. This article aims to provide a comprehensive and critical overview of the historical, theoretical, and empirical foundations of health equity, as well as the challenges and opportunities for advancing it in the modern US society. By adopting an interdisciplinary and intersectional approach, and by drawing on literature from public health, sociology, economics, and human rights, we argue that health equity is not only a matter of fairness and justice, but also a strategic and pragmatic goal for improving the health and well-being of the entire nation. Here, we propose a modern definition of health equity for the US context, and conclude with some recommendations for policy, practice, and research to promote health equity in the US.

摘要

健康公平是一个在新冠疫情背景下日益受到关注且具有重要意义的概念,新冠疫情暴露并加剧了美国不同人群之间的健康差距和不公平现象。本文旨在全面且批判性地概述健康公平的历史、理论和实证基础,以及在美国现代社会推进健康公平所面临的挑战和机遇。通过采用跨学科和交叉性的方法,并借鉴公共卫生、社会学、经济学和人权等领域的文献,我们认为健康公平不仅关乎公平与正义,也是改善整个国家健康与福祉的一项战略务实目标。在此,我们针对美国背景提出健康公平的现代定义,并就促进美国健康公平的政策、实践和研究提出一些建议作为结语。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b910/11617406/01bee04560f5/fx1.jpg

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