The ethics of the medical model in addressing the root causes of health disparities in local public health practice.
The ethics of the medical model in addressing the root causes of health disparities in local public health practice.
复制标题
解决当地公共卫生实践中健康差异的根本原因的医学模式的伦理。
DOI：
10.1097/01.phh.0000324560.42039.0e
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Anthony B Iton
中科院分区：
文献类型：
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作者：
Anthony B Iton
The second goal of Healthy People 2010 is to “eliminate health disparities among segments of the population, including differences that occur by gender, race or ethnicity, education or income, disability, geographic location, or sexual orientation.” Although eliminating health disparities is not listed as one of HHS Secretary Mike Leavitt’s current HHS priorities, Secretary Leavitt has said that eliminating health disparities as they affect racial, ethnic, and underserved populations is a “critical goal” of HHS. US Centers for Disease Control and Prevention Director, Dr Julie Gerberding, looks forward to the day that eliminating health disparities will become “part of the backbone and the culture of CDC” rather than a separate activity. Despite the apparently high priority that the elimination of health disparities receives in the public pronouncements of our nation’s federal public health leaders, the public health strategies and practices that would operate to eliminate health disparities appear to be lacking. Quantitative research indicates that an estimated 83 570 excess deaths each year could be prevented in the United States if the Black-White mortality gap could be eliminated. However, HHS’s Healthy People 2010 midcourse review indicates that there has been no overall progress in the nation regarding the second goal of eliminating health disparities. Bottom line, health disparities are worsening. So there appears to be a large gulf between the stated goals of our national public health institutions and the presence of successful public health policies, strategies, and practices to eliminate health disparities.
