Removing Obstacles To Eliminating Racial And Ethnic Disparities In Behavioral Health Care
Removing Obstacles To Eliminating Racial And Ethnic Disparities In Behavioral Health Care
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DOI：
10.1377/hlthaff.2016.0029
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发表时间：
2016-06-01
期刊：
影响因子：
9.7
通讯作者：
McPeck, Samantha
中科院分区：
文献类型：
--
作者：
Alegria, Margarita;Alvarez, Kiara;McPeck, Samantha
尽管经过几十年的研究，行为医疗保健中的种族和民族差异仍然存在。《平价医疗法案》扩大了行为医疗保健的可及性，但许多改革举措未能考虑到对种族/少数民族的研究。错误的假设是行为卫生保健扩展的基础，存在复制现有服务差异的风险。基于对相关文献的回顾以及对少数民族人群的大量观察性和实地研究，我们确定了以下三个错误的假设：仅改善医疗保健可及性就能减少差异，当前的服务规划解决了少数民族患者的偏好，以及基于证据的干预措施可随时用于不同人群。我们建议提供量身定制的护理，以消除少数民族患者在获得治疗方面面临的障碍，促进创新服务，以满足患者的需求和偏好，并允许灵活的循证实践和行为健康劳动力的扩大。这些建议应有助于满足不断增长的少数种族/族裔人口的医疗保健需求。
Despite decades of research, racial and ethnic disparities in behavioral health care persist. The Affordable Care Act expanded access to behavioral health care, but many reform initiatives fail to consider research about racial/ethnic minorities. Mistaken assumptions that underlie the expansion of behavioral health care run the risk of replicating existing service disparities. Based on a review of relevant literature and numerous observational and field studies with minority populations, we identified the following three mistaken assumptions: Improvement in health care access alone will reduce disparities, current service planning addresses minority patients' preferences, and evidence-based interventions are readily available for diverse populations. We propose tailoring the provision of care to remove obstacles that minority patients face in accessing treatment, promoting innovative services that respond to patients' needs and preferences, and allowing flexibility in evidence-based practice and the expansion of the behavioral health workforce. These proposals should help meet the health care needs of a growing racial/ethnic minority population.