Federal Investments to Eliminate Racial/Ethnic Health-Care Disparities

Federal Investments to Eliminate Racial/Ethnic Health-Care Disparities
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DOI:
10.1177/00333549141291s212
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发表时间:
2014-01-01
影响因子:
3.3
通讯作者:
Freeman, William
Freeman, William
中科院分区:
医学4区
文献类型:
--
作者:
Moy, Ernest;Freeman, William

文献摘要

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保健是缓和社会决定因素对健康的影响的一个重要杠杆。我们提出了一个模型,描述了社会劣势,医疗差距和健康差距之间的关系。改善获得保健的机会和加强病人与提供者之间的互动是减少差距的重要途径。增加公共卫生和保健工作人员的多样性是减少差距的有效战略,因为它影响到获得保健的机会和病人与提供者的沟通。联邦政策制定者应该继续关注劳动力的多样性,以优化所有美国人的健康。
Health care is an important lever for moderating the effects of social determinants on health. We present a model that describes the relationships among social disadvantage, health-care disparities, and health disparities. Improving access to health care and enhancing patient-provider interaction are critical pathways for reducing disparities. Increasing the diversity of the public health and health-care workforces is an efficient strategy for reducing disparities because it impacts both access to care and patient-provider communication. Federal policy makers should continue interest in workforce diversity to optimize the health of all Americans.