健康意义对医疗保健和健康公平的深刻影响。

IF 4.8 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Milbank Quarterly Pub Date : 2023-09-01 Epub Date: 2023-06-21 DOI:10.1111/1468-0009.12660

Kevin Fiscella, Ronald M Epstein

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引用次数: 0

摘要

政策要点医疗保健中健康的含义仍然定义不清，默认为狭义的生物医学疾病模型。全国对话可以就健康的全面和人性化定义达成共识，促进医疗保健转型和健康公平。在医疗保健中实现健康整体意义的关键步骤包括联邦机构的国家领导、包括不同社区的跨部门合作、医疗教育的组织和文化变革，以及实施高质量的初级保健。美国国家科学院、工程院和医学院2023年关于实现整体健康的报告提出了行动建议。

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The Profound Implications of the Meaning of Health for Health Care and Health Equity.

Policy Points The meaning of health in health care remains poorly defined, defaulting to a narrow, biomedical disease model. A national dialogue could create a consensus regarding a holistic and humanized definition of health that promotes health care transformation and health equity. Key steps for operationalizing a holistic meaning of health in health care include national leadership by federal agencies, intersectoral collaborations that include diverse communities, organizational and cultural change in medical education, and implementation of high-quality primary care. The 2023 report by the National Academies of Sciences, Engineering, and Medicine on achieving whole health offers recommendations for action.

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来源期刊

Milbank Quarterly 医学-卫生保健

CiteScore

9.60

自引率

3.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Milbank Quarterly is devoted to scholarly analysis of significant issues in health and health care policy. It presents original research, policy analysis, and commentary from academics, clinicians, and policymakers. The in-depth, multidisciplinary approach of the journal permits contributors to explore fully the social origins of health in our society and to examine in detail the implications of different health policies. Topics addressed in The Milbank Quarterly include the impact of social factors on health, prevention, allocation of health care resources, legal and ethical issues in health policy, health and health care administration, and the organization and financing of health care.