To achieve equitable, integrated care for children, family-centered work must focus on systems.
To achieve equitable, integrated care for children, family-centered work must focus on systems.
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为了实现对儿童的公平、综合照顾，以家庭为中心的工作必须注重制度。
DOI：
10.1037/fsh0000809
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Litt,JonathanS
中科院分区：
文献类型：
--
作者：
Rosenfeld,Lindsay;Litt,JonathanS
儿童健康不平等在很大程度上是种族主义造成的根深蒂固的结构性障碍的结果，性别歧视，仇外心理，阶级主义，以及在整个生命过程中普遍存在的能力歧视（Braveman & Gottlieb，2014）。对于那些在成年后面临相当大挑战的有复杂需求的人来说，这种不平等的影响可能会被放大（Bethell等人，2014年），如早产儿，谁的经验，对短期和长期的健康和发展的威胁。尽管几十年来为解决这些问题做了大量工作，但所有儿童，特别是这一群体，在综合护理方面仍然面临挑战。以家庭为中心的医疗之家在过去的四十年里一直是美国占主导地位的儿科护理模式（Stille等人，2010年）。尽管强调文化上的谦逊并将家庭置于护理团队的核心，但医疗之家模式仍无法为所有人提供公平、综合的护理（班尼特等人，2012年）。（PsycInfo数据库记录（c）2024阿帕，保留所有权利）
Child health inequities are largely the result of entrenched, structural barriers created by racism, sexism, xenophobia, classism, and ableism that generally persist across the life course (Braveman & Gottlieb, 2014). The impact of such inequities may be magnified for those with complex needs who face considerable challenges in adulthood (Bethell et al., 2014), such as preterm infants, who experience threats to both short-and longterm health and development. Challenges in integrated care remain for all children, especially this population, despite extensive work across many decades to address such issues. The family-centered medical home has been the dominant pediatric care model in the United States for the last four decades (Stille et al., 2010). Despite emphasizing cultural humility and placing family at the care team core, the medical home model has not been able to deliver on securing equitable, integrated care for all (Bennett et al., 2012).(PsycInfo Database Record (c) 2024 APA, all rights reserved)