Health systems and health equity: Advancing the agenda.

Autor: Cunningham R; Administration, Hospital of the University of Pennsylvania, Philadelphia, PA; Department of Biobehavioral Sciences, School of Nursing, University of Pennsylvania, Philadelphia, PA. Electronic address: regina.cunningham@pennmedicine.upenn.edu., Polomano RC; Department of Biobehavioral Sciences, School of Nursing, University of Pennsylvania, Philadelphia, PA; Department of Nursing, Hospital of the University of Pennsylvania, Philadelphia, PA., Wood RM; Department of Nursing, Hospital of the University of Pennsylvania, Philadelphia, PA., Aysola J; Penn Medicine Center for Health Equity Advancement, University of Pennsylvania Health System and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Jazyk: angličtina
Zdroj: Nursing outlook [Nurs Outlook] 2022 Nov-Dec; Vol. 70 (6 Suppl 1), pp. S66-S76.
DOI: 10.1016/j.outlook.2022.05.010
Abstrakt: Despite a compelling body of evidence and decades of policy recommendations, deep inequities in health persist with historically marginalized groups. Operationalizing strategies to achieve equity in health and health care continues to remain elusive to health systems. We propose several focus areas; attention to semantics and concepts, building knowledge of health inequities, redesigning care and transforming cultures, to advance health equity work by health system nurse leaders and clinical nurses. Health equity frameworks, traditionally applied in population and public health, are also discussed to tackle health equity issues and formulate, implement and evaluate solutions to inequities. Examples illustrate ongoing work in our health system in targeted areas and challenges in advancing health equity work. Future efforts by health system nurse leaders should concentrate on technology for point of care health screening and data acquisition, data-driven decisions, and organizational performance measures to narrow health equity gaps.
(Copyright © 2022. Published by Elsevier Inc.)
Databáze: MEDLINE
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