| Titre : | Advancing health disparities research within the health care system : A conceptual framework. (2006) |
| Auteurs : | Amy-M KILBOURNE ; CROWLEY-MATOKA (Megan) : USA. Departments of Medicine and Anthropology. Univer sity of Pittsburgh. ; FINE (Michael-J) : USA. Department of Medicine. University of Pittsburgh. ; Kelly HYMAN ; Galen SWITZER ; University of Pittsburgh. Departments of Medicine and Psychiatry. Pittsburgh. PA. USA ; Va Pittsburgh Healthcare System. Center for Health Equity Research and Promotion. Pittsburgh. PA. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 96, n° 12, 2006) |
| Pagination : | 2113-2121 |
| Langues: | Anglais |
| Mots-clés : | Soins ; Etat santé ; Système santé ; Etats Unis ; Amérique ; Politique santé ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS PNdyhR0x. Diffusion soumise à autorisation]. We provide a framework for health services-related researchers, practitioners, and policy makers to guide future health disparities research in areas ranging from detecting differences in health and health care to understanding the determinants that underlie disparities to ultimately designing interventions that reduce and eliminate these disparities. To do this, we identified potential selection biases and definitions of vulnerable groups when detecting disparities. The key factors to understanding disparities were multilevel determinants of health disparities, including individual beliefs and preferences, effective patient-provider communication ; and the organizational culture of the health care system. We encourage interventions that yield generalizable data on their effectiveness and that promote further engagement of communities, providers, and policymakers to ultimately enhance the application and the impact of health disparities research. |
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