Respiratory health equality in the United States. The American thoracic society perspective.
Respiratory health equality in the United States. The American thoracic society perspective.
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DOI：
10.1513/annalsats.201402-059ps
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发表时间：
2014-05-01
影响因子：
8.3
通讯作者：
Samet, Jonathan
中科院分区：
文献类型：
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作者：
Celedon, Juan C;Roman, Jesse;Samet, Jonathan
由于呼吸系统疾病主要危险因素（例如吸烟）的发生频率因人口群体（由社会经济地位、种族/族裔、性取向、医疗保健获取、职业或其他特征定义）而异，因此儿科和成人肺科、重症监护和睡眠医学领域经常遇到健康差异。作为呼吸健康差异政策的一部分，美国胸科学会 (ATS) 执行委员会在健康政策委员会下设立了健康平等小组委员会，其初步任务是定义呼吸健康平等，并作为后续任务，向 ATS 领导层提供关于我们的社会如何帮助美国实现这种平等的建议。在收到 ATS 大会和委员会的意见后，小组委员会制定了这份关于呼吸健康平等的文件。本文件定义了呼吸健康差异和呼吸健康平等，并扩展了最近 ATS 和欧洲呼吸学会关于呼吸健康差异的政策声明。实现呼吸系统健康平等需要消除呼吸系统健康差异，这只能通过多学科努力来实现，消除有害的环境暴露，同时促进健康的生活方式，实施高质量医疗保健的所有组成部分（预防、筛查、诊断和治疗），并开展研究以更好地预防和管理每个人的呼吸系统疾病。 ATS 认识到，此类努力必须包括所有利益相关者：广大社会成员、政府和非政府组织以及其他专业协会。 ATS 敦促其所有成员和姐妹协会的成员努力实现这一值得称赞的目标。
Because the frequency of major risk factors for respiratory diseases (e.g., tobacco use) differs across demographic groups (defined by socioeconomic status, race/ethnicity, sexual orientation, health care access, occupation, or other characteristics), health disparities are commonly encountered in pediatric and adult pulmonary, critical care, and sleep medicine. As part of its policy on respiratory health disparities, the American Thoracic Society (ATS) Executive Committee created a Health Equality Subcommittee of the Health Policy Committee, with an initial mandate of defining respiratory health equality and, as a subsequent task, providing recommendations to the ATS leadership as to how our society may help attain such equality in the United States. After receiving input from the ATS assemblies and committees, the subcommittee developed this document on respiratory health equality. This document defines respiratory health disparities and respiratory health equality, and expands on a recent ATS and European Respiratory Society policy statement on disparities in respiratory health. Attainment of respiratory health equality requires the ending of respiratory health disparities, which can be achieved only through multidisciplinary efforts to eliminate detrimental environmental exposures while promoting a healthy lifestyle, implementing all components of high-quality health care (prevention, screening, diagnosis, and treatment), and conducting research that will lead to better prevention and management of respiratory diseases for everyone. The ATS recognizes that such efforts must include all stakeholders: members of society at large, governmental and nongovernmental organizations, and other professional societies. The ATS urges all of its members and those of sister societies to work to achieve this laudable goal.