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审视公平概念以及若将公平重新确立为政府针对国民医疗服务体系的关键目标之一对卫生政策的影响。

An examination of the concept of equity and the implications for health policy if equity is re-asserted as one of the key government objectives for the National Health Service.

作者信息

Eaves D

出版信息

J Nurs Manag. 1998 Jul;6(4):215-21. doi: 10.1046/j.1365-2834.1998.00070.x.

Abstract

AIM

To gain a full understanding of the concept of equity and means of promoting and monitoring a more equitable healthservice.

BACKGROUND

With previous policy decisions having sidelined equity, a new government is likely to wish to reverse this trend.

ORIGINS OF INFORMATION

Government and expert opinion.

DATA ANALYSIS

A critical approach to previous literature.

KEY ISSUES

Equity is not a unitary concept and so it is explored and dissected using the framework of: Distribution of Resources, Access and Uptake of Healthcare, Standards and Outcomes of Healthcare, Health Status. Means of improving and monitoring equity in these four areas are suggested.

CONCLUSIONS

There are a number of ways of considering the concept of equity and for any fruitful discussion to occur there needs to be an agreed working definition. Specific topics are discussed where equity is lacking and a plan of action is suggested which is likely to improve equity in the areas identified.

摘要

目的

全面理解公平的概念以及促进和监督更公平的医疗服务的方法。

背景

由于先前的政策决策使公平被边缘化,新政府可能希望扭转这一趋势。

信息来源

政府和专家意见。

数据分析

对先前文献采用批判性方法。

关键问题

公平不是一个单一的概念,因此使用以下框架进行探讨和剖析:资源分配、医疗保健的获取与利用、医疗保健的标准与结果、健康状况。建议了在这四个领域改善和监督公平的方法。

结论

有多种方式来考量公平的概念,为了进行任何富有成效的讨论,需要有一个商定的工作定义。讨论了公平缺失的具体主题,并提出了一项行动计划,该计划可能会改善所确定领域的公平状况。

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