不平等与健康：医疗实践能否解决不平等的后果？

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Journal of evaluation in clinical practice Pub Date : 2024-07-08 DOI:10.1111/jep.14067

Chris L Peterson

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引用次数: 0

摘要

背景：各国政府在 COVID-19 大流行期间的支出凸显了政府提供社会经济支持的程度。这对不平等模式产生了影响，特别是加剧了健康和福祉方面的不平等：结果：由于新自由主义这种以市场为基础的方法已经持续了四十多年，不平等现象已经扩大。新自由主义与 COVID-19 共同发展，暴露了许多结构性治理差异：讨论：本文列举了许多不平等现象对健康和福祉影响的例子。讨论：介绍了一些不平等现象对健康和福祉的影响，讨论了全科医疗在解决这些问题方面的作用，并强调了所面临的挑战，尤其是与支付系统和劳动力限制有关的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Inequality and health: Can medical practice address the consequences of inequalities?

Background: The extent to which governments provide socioeconomic supports has been highlighted by their spending during the COVID-19 pandemic. This has implications for patterns of inequality, in particular on exacerbating unequal health and well-being.

Results: Inequity has expanded due to neoliberalism, a market-based approach that has endured for more than four decades. Together with COVID-19, it has developed and exposed many structural governance differences.

Discussion: There are a number of examples presented of the effects of inequalities on health and well-being. The role of general practice in addressing these is discussed and challenges are highlighted, especially those relating to payment systems and workforce constraints.

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.