Advancing health disparities research within the health care system: A conceptual framework
Advancing health disparities research within the health care system: A conceptual framework
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DOI：
10.2105/ajph.2005.077628
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发表时间：
2006-12-01
影响因子：
12.7
通讯作者：
Fine, Michael J.
中科院分区：
文献类型：
--
作者：
Kilbourne, Amy M.;Switzer, Galen;Fine, Michael J.
我们为与卫生服务相关的研究人员、从业者和政策制定者提供框架，以指导未来的健康差异研究，包括发现健康和医疗保健的差异、了解差异背后的决定因素，以及最终设计减少和消除这些差异的干预措施。为此，我们在检测差异时确定了潜在的选择偏差和弱势群体的定义。理解差异的关键因素是健康差异的多层次决定因素，包括个人信仰和偏好、有效的患者与提供者的沟通；以及医疗保健系统的组织文化。我们鼓励采取干预措施，产生关于其有效性的普遍数据，并促进社区、提供者和政策制定者的进一步参与，以最终增强健康差异研究的应用和影响。
We provide a frannework for health services-related researchers, practitioners, and policy makers to guide future health disparities research in areas ranging from detecting differences in health and health care to understanding the determinants that underlie disparities to ultimately designing interventions that reduce and eliminate these disparities. To do this, we identified potential selection biases and definitions of vulnerable groups when detecting disparities.The key factors to understanding disparities were multilevel determinants of health disparities, including individual beliefs and preferences, effective patient-provider communication; and the organizational culture of the health care system. We encourage interventions that yield generalizable data on their effectiveness and that promote further engagement of communities, providers, and policymakers to ultimately enhance the application and the impact of health disparities research.