关键词: Definitions Discrimination Health disparities Health equity Health justice Landscape review Racial health equity Racism Scoping review Terminology

Mesh : Humans Ethnicity Health Equity Health Status Disparities Minority Groups Racial Groups Review Literature as Topic Systematic Reviews as Topic

来  源:   DOI:10.1186/s13643-023-02357-4   PDF(Pubmed)

Abstract:
In the USA, access to quality healthcare varies greatly across racial and ethnic groups, resulting in significant health disparities. A new term, \"racial health equity\" (RHE), is increasingly reported in the medical literature, but there is currently no consensus definition of the term. Additionally, related terms such as \"health disparities,\" \"health inequities,\" and \"equality\" have been inconsistently used when defining RHE.
The primary purpose of this scoping review is to investigate the current use and underlying concepts used to define racial health equity. The study will address two key questions: (1) \"What terminology and definitions have been used to characterize RHE?\" and (2) \"What knowledge gaps and challenges are present in the current state of RHE research and theory?\" The review will collect and analyze data from three sources: (1) websites from key national and international health organizations, (2) theoretical and narrative published articles, and (3) evidence synthesis studies addressing interventions targeting racial health equity and minority stakeholder engagement.
Defining \"racial health equity\" and related terminology is the first step to advancing racial health equity within the USA. This review aims to offer an improved understanding of RHE constructs and definitions, bringing greater unity to national racial health equity research efforts across disciplines.
This protocol is registered with the Open Science Framework at https://osf.io/7pvzq .
摘要:
背景:在美国,获得优质医疗保健的机会因种族和族裔群体而异,造成巨大的健康差距。一个新的术语,“种族健康公平”(RHE),越来越多的医学文献报道,但目前对该术语尚无共识定义。此外,相关术语,如“健康差异”,\“\”健康不平等,定义RHE时使用的\"和\"相等\"不一致。
方法:本范围审查的主要目的是调查用于定义种族健康公平的当前使用和基本概念。该研究将解决两个关键问题:(1)“使用了哪些术语和定义来表征RHE?”和(2)“在RHE研究和理论的当前状态下存在哪些知识差距和挑战?”(2)发表的理论性和叙述性文章,和(3)针对针对种族健康公平和少数利益相关者参与的干预措施的证据综合研究。
结论:定义“种族健康公平”和相关术语是在美国推进种族健康公平的第一步。这篇综述旨在提供对RHE结构和定义的更好理解,为跨学科的国家种族健康平等研究工作带来更大的团结。
背景:此协议已在https://osf.io/7pvzq的开放科学框架中注册。
公众号