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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Eliminating mental health disparities by 2020: Everyone's actions matter
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Eliminating mental health disparities by 2020: Everyone's actions matter

机译：到2020年消除心理健康差异：每个人的行动都很重要

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摘要

This article describes current United States Department of Health and Human Services (HHS) initiatives to end health disparities and outlines suggestions about how child and adolescent psychiatrists can contribute to the Healthy People 2020 goal of achieving "health equity, eliminate disparities and improve the health of all groups." In the decade since the Surgeon General's landmark publication, Mental Health: Culture, Race, and Ethnicity, its basic findings of striking disparities for minorities in mental health services have not changed. As shown in the most recent National Healthcare Quality and Disparities Reports, racial and ethnic minorities still have less access to mental health services than whites, and when they receive care, it is more likely to be of poorer quality. Although the exact HHS definitions vary, disparities in health care are in general defined as "racial or ethnic differences in the quality of healthcare that are not due to access-related factors or clinical needs, preferences, and appropriateness of intervention" (Figure 1) and consider minority status based on so-cioeconomic (poverty) or geographic (e.g., rural) status.
机译：本文介绍了美国卫生与公共服务部（HHS）当前旨在消除健康差异的举措，并概述了有关儿童和青少年精神科医生如何为实现“健康平等，消除差异和改善健康状况”的2020年健康人群目标做出的建议。所有组。”自从外科医生发表具有里程碑意义的出版物《精神卫生：文化，种族和种族》以来的十年中，其在精神卫生服务中为少数群体带来巨大差异的基本发现一直没有改变。如最新的《全国医疗质量和差异报告》所示，与白人相比，种族和少数民族仍然无法获得心理保健服务，而且在接受护理时，其质量可能更差。尽管确切的HHS定义有所不同，但是医疗保健方面的差异通常被定义为“医疗质量方面的种族或种族差异，这不是由获取相关因素或临床需求，偏好和干预措施的适当性引起的”（图1）并根据社会经济（贫困）或地理（例如农村）状况来考虑少数民族的状况。

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