推进公平获得医疗服务的未来:国际医疗保健领导人的建议

Beth Boyer, Katie Huber, Eyal Zimlichman, Robert S Saunders, Mark McClellan, Charles N. Kahn, Ryan Noach, Claudia Salzberg
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引用次数: 0

摘要

获得医疗服务方面的差距长期存在,导致世界各地许多人的健康状况不佳。尽管各国医疗系统的结构不同,但获得医疗服务的障碍往往相似。医疗保健领导者可以通过大胆的、以证据为基础的行动来消除这些障碍。健康的未来(FOH)是一个由资深卫生领袖组成的国际社区,它与杜克大学马戈利斯卫生政策研究所合作,通过建立共识、有针对性的文献回顾和专家讨论小组,确定了改善公平获得医疗服务所需的优先组织和政策行动。本文介绍了 FOH 成员为医疗保健领导者确定的四个关键行动领域,这四个领域对于实现未来公平获得医疗保健服务至关重要:确保优先考虑公平获得医疗保健服务并对其负责;建立全面的、全组织范围的战略,以解决获得医疗保健服务的障碍;明确界定并激励改善与减少获得医疗保健服务差距相关的关键措施;以及建立跨部门合作伙伴关系,以改善公平获得医疗保健服务。
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Advancing the Future of Equitable Access to Health Care: Recommendations from International Health Care Leaders
Disparities in access to health care are persistent and contribute to poor health outcomes for many populations around the world. Barriers to access are often similar across countries, despite differences in how health systems are structured. Health care leaders can work to address these barriers through bold, evidence-based actions. The Future of Health (FOH), an international community of senior health leaders, collaborated with the Duke-Margolis Institute for Health Policy to identify priority organizational and policy actions needed to improve equitable access to health care through a consensus-building exercise, a targeted literature review, and an expert discussion group. This paper describes four key action areas for health care leaders that FOH members identified as critical to enabling the future of equitable access to health care: ensuring prioritization of and accountability for equitable access to care; establishing comprehensive, organization-wide strategies to address barriers to access; clearly defining and incentivizing improvement on key measures related to reducing disparities in access; and establishing cross-sector partnerships to improve equitable access.
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