[促进医疗保健领域的公平、多样性和包容性:以 COVID-19 大流行为例]。

Q3 Nursing Journal of Nursing Pub Date : 2024-10-01 DOI:10.6224/JN.202410_71(5).12
Mei-Fang Chen, Mei-Ling Yeh
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引用次数: 0

摘要

医疗保健系统必须体现公平、多样性和包容性(EDI),在出现不公平的情况时,应制定适当的政策/对策。医疗保健系统应对 COVID-19 大流行的措施不仅凸显了社会经济差异对死亡风险的影响,还对医疗保健系统成功实践 EDI 提出了重大挑战。有鉴于此,本文以 COVID-19 为例,概述了 EDI,分析了国际上为促进 EDI 所做的努力,并提出了在传染病医疗保健中促进 EDI 的策略。在医疗保健环境中,公平的核心是确保患者无论种族、性别、年龄或社会经济地位如何都能获得公平的治疗;多样性的核心是医疗保健提供者了解来自不同文化背景的患者的独特性及其面临的健康障碍;包容性的核心是确保患者受到尊重并得到应有的关注。在流行病期间,健康的社会决定因素(SDOH)极大地影响了患者的健康结果,并阻碍了 EDI 的实践。反思 COVID-19 的影响,医疗保健系统可以在临床实践中积极应用 EDI,为所有患者提供公平的医疗保健机会和结果。切实可行的策略包括在医疗系统内建立 EDI 委员会、监控相关数据、开展员工培训、持续关注 SDOH 和边缘化群体的需求,以实现医疗保健中的 EDI。
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[Promoting Equity, Diversity, and Inclusion in Healthcare: An Example of the COVID-19 Pandemic].

Healthcare systems must embody equity, diversity, and inclusion (EDI) and, in the event of unfairness, appropriate policies / countermeasures should be enacted. The healthcare system response to the COVID-19 pandemic not only highlighted how socioeconomic disparities affect mortality risk but also posed significant challenges to the successful practice of EDI in healthcare. In light of this, this article was written to provide an overview of EDI, analyze the international efforts to promote it, and suggest strategies for promoting EDI in infectious disease healthcare using COVID-19 as an example. In healthcare settings, equity centers on ensuring patients receive fair treatment regardless of race, gender, age, or socioeconomic status; diversity centers on healthcare providers understanding the uniqueness of patients from different cultural backgrounds and the health barriers they face; and inclusion centers on ensuring patients are treated with respect and given the attention they deserve. During pandemics, social determinants of health (SDOH) greatly impact patient health outcomes and hinder the practice of EDI. Reflecting on the impact of COVID-19, healthcare systems can actively apply EDI in clinical practice to provide to all patients equitable access to healthcare opportunities and outcomes. Practical strategies include establishing EDI committees within healthcare systems, monitoring relevant data, conducting staff training, and continuously addressing the SDOH and needs of marginalized groups to achieve EDI in healthcare.

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来源期刊
Journal of Nursing
Journal of Nursing Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
14
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