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首页> 美国卫生研究院文献>Ethnicity Disease >Uniting the Vision for Health Equity through Partnerships: The 2nd Annual Dr. Elijah Saunders Dr. Levi Watkins Memorial Lecture
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Uniting the Vision for Health Equity through Partnerships: The 2nd Annual Dr. Elijah Saunders Dr. Levi Watkins Memorial Lecture

机译：通过合作伙伴关系实现健康公平的愿景：第二届年度Elijah Saunders博士和Levi Watkins博士纪念演讲

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Minority health research focuses on outcomes by race and ethnicity categories used in the United States census. Overall mortality has decreased significantly for African Americans, Latinos, and Asians over the past 20 years even though it has stopped improving for poor Whites and continues to increase for American Indians/Alaska Natives. Prevention and treatment of cardiovascular disease partly account for this trend, but there is room for improvement. Health disparities research also includes persons of less privileged socioeconomic status, underserved rural residents, and sexual and gender minorities of any race and ethnicity when the outcomes are worse than a reference population. Understanding mechanisms that lead to health disparities from behavioral, biological, environmental and health care perspectives will lead to interventions that reduce these disparities and promote health equity. Experiences with racism and discrimination generate a chronic stress response with measurable effects on biological processes and study is needed to evaluate long-term effects on health outcomes. A clinical example of effective approaches to reducing disparities is management of hypertension to promote stroke reduction that requires health system changes, patient-clinician partnerships and engagement of community organizations. Clinicians in health care settings have the potential to promote health equity by implementing standardized measures of social determinants, leveraging the power of health information technology, maximizing cultural competence and socially precise care and engaging communities to reduce health disparities. Strategic partnerships between health care institutions and community-based organizations need to parallel patient-clinician partnerships and are essential to promote health equity and reduce disparities.
机译：少数民族健康研究的重点是美国人口普查中按种族和种族类别划分的结果。在过去的20年中，非洲裔美国人，拉丁美洲人和亚洲人的总体死亡率已大大降低，尽管对于贫穷的白人而言，这种死亡率已经停止改善，而美洲印第安人/阿拉斯加土著人的死亡率仍在继续增加。心血管疾病的预防和治疗在一定程度上说明了这一趋势，但仍有改善的空间。健康差异研究还包括社会经济地位较弱的人，农村居民服务水平低下的人，以及结局较参考人群差的任何种族和族裔的性别和性别少数群体。从行为，生物学，环境和卫生保健的角度了解导致健康差异的机制，将导致减少这些差异并促进健康公平的干预措施。种族主义和歧视的经验会产生慢性应激反应，对生物过程产生可测量的影响，需要进行研究以评估对健康结果的长期影响。减少差异的有效方法的临床例子是高血压的管理以促进卒中的减少，这需要卫生系统的改变，患者与临床医生的合作以及社区组织的参与。卫生保健机构中的临床医生具有潜力，可以通过实施社会决定因素的标准化措施，利用卫生信息技术的力量，最大限度地提高文化能力和社会精准的护理水平以及使社区参与来减少卫生差距来促进健康平等。卫生保健机构与社区组织之间的战略伙伴关系需要与患者-临床医生伙伴保持平行，这对于促进卫生公平和减少差距至关重要。

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