Health equity: A concept analysis

被引:7
作者
Lewis, Chrystal L. [1 ]
Yan, Alice
Williams, Michelle Y. [1 ,2 ,3 ]
V. Apen, Lynette [1 ]
Crawford, Cecelia L. [1 ]
Morse, Lisa [1 ]
Valdez, Anna M. [4 ]
Alexander, G. Rumay [5 ]
Grant, Ernest [6 ]
Valderama-Wallace, Claire [7 ]
Beatty, Dale [8 ]
机构
[1] Stanford Hlth Care, Dept Res & Hlth Equ, 301 Ravenswood Ave, Menlo Pk, CA 94025 USA
[2] Stanford Univ, Sch Med, Dept Med, Div Primary Care & Populat Hlth, Palo Alto, CA USA
[3] Stanford Univ, Dept Med, Nursing Res Sect, Sch Med, Palo Alto, CA USA
[4] Sonoma State Univ, Dept Nursing, Rohnert Pk, CA USA
[5] Univ North Carolina Chapel Hill, Sch Nursing, Chapel Hill, NC USA
[6] Duke Univ, Sch Nursing, Durham, NC USA
[7] Calif State Univ, Dept Nursing, Hayward, CA USA
[8] Stanford Hlth Care, Execut Adm, Palo Alto, CA USA
关键词
Health equity; Concept analysis; Health care organization; Health care system; Payor; Policymaker; STRUCTURAL RACISM; PUBLIC-HEALTH; RACIAL/ETHNIC DISPARITIES; SOCIAL DETERMINANTS; POPULATION HEALTH; PROMOTE HEALTH; UNITED-STATES; ROOT CAUSES; INEQUITIES; CARE;
D O I
10.1016/j.outlook.2023.102032
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Although health equity is critically important for healthcare delivery, there are inconsistencies in its definitions or lack of definitions. Purpose: Develop a comprehensive understanding of health equity to guide nursing practice and healthcare policy.Method: Walker and Avant's concept analysis method was used to establish defining attributes, antecedents, consequences, and empirical referents of health equity.Findings: Health equity defining attributes are grounded in ethical principles, the absence of unfair and avoidable differences, and fair and just opportunities to attain a person's full health potential. Health equity antecedents are categorized into environmental; financial or economic; law, politics, and policy; societal and structural; research; and digital and technology.Discussion: Health equity's antecedents are useful to distinguish health disparities from health outcomes resulting from individual preferences. To achieve health equity, organizations need to focus on addressing the antecedents.(c) 2023 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
引用
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页数:12
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