Health disparities monitoring in the US: lessons for monitoring efforts in Israel and other countries
Health disparities monitoring in the US: lessons for monitoring efforts in Israel and other countries
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DOI：
10.1186/s13584-018-0208-1
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发表时间：
2018-02-28
影响因子：
4.5
通讯作者：
Kalter-Leibovici, Ofra
中科院分区：
文献类型：
--
作者：
Abu-Saad, Kathleen;Avni, Shlomit;Kalter-Leibovici, Ofra
背景：健康差距是许多高收入国家持续存在的问题。卫生政策制定者认识到需要开发系统方法来记录和跟踪这些差异，以减少这些差异。美国拥有完善的健康差异监测基础设施，其经验为其他国家提供了有用的见解。主体：本文对美国的健康差异监测进行了深入回顾。对其他国家具有潜在意义的教训包括：1）将健康差异监测纳入人口健康监测；2）政治承诺的作用；3）利用监测作为反馈循环来告知未来方向；4）利用监测来确定数据差距； 5) 发展广泛的跨部门合作，以及 6) 利用数字工具进行监测和报告。以以色列为例，我们简要概述了以色列的医疗保健和健康差距状况，并研究了如何将美国的经验教训应用于以色列的情况。结论：美国的健康差距监测模式为其他国家记录健康差距和跟踪消除健康差距的进展提供了有用的经验教训。鉴于美国和以色列持续存在的健康差异，监测系统需要超越个人和医疗保健系统层面的因素，将健康的社会和环境决定因素纳入健康指标/结果。
Background: Health disparities are a persistent problem in many high-income countries. Health policymakers recognize the need to develop systematic methods for documenting and tracking these disparities in order to reduce them. The experience of the U.S., which has a well-established health disparities monitoring infrastructure, provides useful insights for other countries.Main body: This article provides an in-depth review of health disparities monitoring in the U.S. Lessons of potential relevance for other countries include: 1) the integration of health disparities monitoring in population health surveillance, 2) the role of political commitment, 3) use of monitoring as a feedback loop to inform future directions, 4) use of monitoring to identify data gaps, 5) development of extensive cross-departmental cooperation, and 6) exploitation of digital tools for monitoring and reporting. Using Israel as a case in point, we provide a brief overview of the healthcare and health disparities landscape in Israel, and examine how the lessons from the U.S. experience might be applied in the Israeli context.Conclusion: The U.S. model of health disparities monitoring provides useful lessons for other countries with respect to documentation of health disparities and tracking of progress made towards their elimination. Given the persistence of health disparities both in the U.S. and Israel, there is a need for monitoring systems to expand beyond individual-and healthcare system-level factors, to incorporate social and environmental determinants of health as health indicators/outcomes.