Addressing Health and Health-Care Disparities: The Role of a Diverse Workforce and the Social Determinants of Health
Addressing Health and Health-Care Disparities: The Role of a Diverse Workforce and the Social Determinants of Health
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DOI：
10.1177/00333549141291s211
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发表时间：
2014-01-01
影响因子：
3.3
通讯作者：
Gracia, J. Nadine
中科院分区：
文献类型：
--
作者：
Jackson, Chazeman S.;Gracia, J. Nadine
尽管在过去几十年里，医学和公共卫生取得了重大进展，但卫生和保健方面的差距依然存在。在美国，种族/少数民族群体处于不成比例的风险中，他们没有保险，无法获得护理，并且由于可预防和可治疗的疾病而经历更糟糕的健康结果。由于缩小这些差距已成为国家的优先事项，深入了解健康的社会决定因素变得越来越重要。本文提供了一个增加卫生和医疗保健工作人员的多样性和文化能力的基本原理，并介绍了由美国卫生与公众服务部少数民族健康办公室领导的关键战略，以促进卫生保健系统的文化能力，加强社区一级的方法来改善所有人的健康和医疗保健。
Despite major advances in medicine and public health during the past few decades, disparities in health and health care persist. Racial/ethnic minority groups in the United States are at disproportionate risk of being uninsured, lacking access to care, and experiencing worse health outcomes from preventable and treatable conditions. As reducing these disparities has become a national priority, insight into the social determinants of health has become increasingly important. This article offers a rationale for increasing the diversity and cultural competency of the health and health-care workforce, and describes key strategies led by the U.S. Department of Health and Human Services' Office of Minority Health to promote cultural competency in the health-care system and strengthen community-level approaches to improving health and health care for all.