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首页> 美国卫生研究院文献>Annals of Family Medicine >Improving Equity Through Primary Care: Proceedings of the 2019 Toronto International Conference on Quality in Primary Care
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Improving Equity Through Primary Care: Proceedings of the 2019 Toronto International Conference on Quality in Primary Care

机译：通过基层医疗提高公平性：2019年多伦多基层医疗质量国际会议论文集

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摘要

Health equity allows people to reach their full health potential and receive high-quality care that is appropriate for them and their needs, no matter where they live, what they have, or who they are. It is a core element of quality in health care. Around the world, there are many efforts to improve equity through primary care. In order to advance these efforts, it is important to share successes and challenges. Building on our work with international stakeholders to identify key primary care research priorities, we organized the Toronto International Conference on Quality in Primary Care that was held on November 16, 2019. Participants from 8 countries took part. Key recommendations included the establishment of continuous relationships between providers and patients over time, relationships between providers in the health and social sectors, and resources supported proportionally to patient need. Solutions must be generated using team-based approaches that explicitly include people with who have experienced discrimination. Progress will require confronting structural determinants including racism, capitalism, and colonialism. Conference participants suggested practical solutions, such as developing a public transportation program for rural residents to improve community building and the ability to attend medical appointments, and identifying patients who have recently missed clinic visits that may benefit from additional care. These approaches will need to be evaluated through high-quality research and quality improvement, with a knowledge translation that facilitates sustainability and expansion across settings.
机译：健康公平使人们能够充分发挥其健康潜力，并获得适合他们和他们需求的高质量护理，无论他们身在何处，拥有什么或成为谁。它是卫生保健质量的核心要素。在世界范围内，通过基层医疗为提高公平性做出了许多努力。为了推进这些努力，重要的是分享成功和挑战。基于与国际利益相关者的合作，确定关键的初级保健研究重点，我们于2019年11月16日组织了多伦多国际初级保健质量会议。来自8个国家的参与者参加了会议。关键建议包括随着时间的推移在提供者与患者之间建立持续的关系，卫生和社会部门中提供者之间的关系以及与患者需求成比例支持的资源。必须使用基于团队的方法来生成解决方案，该方法应明确包括遭受歧视的人员。要取得进展，就需要面对包括种族主义，资本主义和殖民主义在内的结构性决定因素。与会者提出了切实可行的解决方案，例如为农村居民制定公共交通计划，以改善社区建设和就医能力，并确定最近错过诊所就诊的患者，这些患者可能会受益于额外的护理。这些方法将需要通过高质量的研究和质量改进进行评估，并进行知识翻译以促进可持续发展和跨环境扩展。

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