Advancing Health Services Research to Eliminate Health Care Disparities

Advancing Health Services Research to Eliminate Health Care Disparities
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DOI:
10.2105/ajph.2018.304922
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发表时间:
2019-01-01
影响因子:
12.7
通讯作者:
Ayanian, John Z.
Ayanian, John Z.
中科院分区:
医学2区
文献类型:
--
作者:
Wasserman, Joan;Palmer, Richard C.;Ayanian, John Z.

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卫生服务研究的结果突出了美国持续存在的卫生保健差距,特别是在获得卫生保健和卫生保健质量方面。虽然对保健差距的关注有所增加,但仍然存在相当大的知识差距。需要更好地了解文化、行为和卫生系统因素如何汇合并导致不平等获取和差别护理。减少卫生保健差距的研究知情方法是可行的,并且能够持续实施,为决策者提供信息。更重要的是,要实现卫生公平,必须建立一个卫生保健系统,为生活在美国的所有人提供可及性,消除保健障碍,并提供同等有效的治疗。
Findings from health services research highlight continuing health care disparities in the United States, especially in the areas of access to health care and quality of care.Although attention to health care disparities has increased, considerable knowledge gaps still exist. A better understanding of how cultural, behavioral, and health system factors converge and contribute to unequal access and differential care is needed.Research-informed approaches for reducing health care disparities that are feasible and capable of sustained implementation are needed to inform policymakers. More important, for health equity to be achieved, it is essential to create a health care system that provides access, removes barriers to care, and provides equally effective treatment to all persons living in the United States.