Understanding Disparities In Health Care Access-And Reducing Them-Through A Focus On Public Health
Understanding Disparities In Health Care Access-And Reducing Them-Through A Focus On Public Health
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DOI：
10.1377/hlthaff.2011.0644
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发表时间：
2011-10-01
期刊：
影响因子：
9.7
通讯作者：
Ringel, Jeanne S.
中科院分区：
文献类型：
--
作者：
Derose, Kathryn Pitkin;Gresenz, Carole Roan;Ringel, Jeanne S.
试图解释少数种族和族裔以及其他服务不足的人群在获得医疗保健方面所面临的差异往往侧重于个人层面的因素，例如人口统计、个人健康信仰和健康保险状况。本文建议从公共卫生的角度审视这些差异，并努力纠正这些差异。公共卫生机构可以将人们与所需的服务联系起来，例如免疫接种、检测和治疗；确保医疗保健的可用性；确保公共卫生和个人卫生保健人员的能力；评估个人和基于人口的服务的有效性、可及性和质量。通过公共卫生框架解决差异问题可以为开发更强有力的证据奠定基础，为改善医疗机会和减少差异的其他政策提供信息。
Attempts to explain disparities in access to health care faced by racial and ethnic minorities and other underserved populations often focus on individual-level factors such as demographics, personal health beliefs, and health insurance status. This article proposes an examination of these disparities-and an effort to redress them-through the lens of public health. Public health agencies can link people to needed services such as immunizations, testing, and treatment; ensure the availability of health care; ensure the competency of the public health and personal health care workforce; and evaluate the effectiveness, accessibility, and quality of personal and population-based services. Approaching disparities through a public health framework can provide the foundation for developing more robust evidence to inform additional policies for improving access and reducing disparities.