PDF(Pubmed)
Abstract：
Equity and health equity are fundamental pillars in fostering a just and inclusive society. While equity underscores fairness in resource allocation and opportunity, health equity aims to eradicate avoidable health disparities among social groups. The concept of harms in interventions-undesirable consequences associated with the use of interventions-often varies across populations due to biological and social factors, necessitating a nuanced understanding. An equity lens reveals disparities in harm distribution, urging researchers and policymakers to address these differences in their decision-making processes. Furthermore, interventions, even well-intentioned ones, can inadvertently exacerbate disparities, emphasizing the need for comprehensive harm assessment. Integrating equity considerations in research practices and trial methodologies, through study design or through practices such as inclusive participant recruitment, is pivotal in advancing health equity. By prioritizing interventions that address disparities and ensuring inclusivity in research, we can foster a more equitable healthcare system.
摘要：
公平和卫生公平是培育公正和包容性社会的基本支柱。虽然公平强调资源分配和机会的公平，健康公平旨在消除社会群体之间可避免的健康差距。干预措施中的危害概念-与使用干预措施相关的不良后果-通常由于生物和社会因素而在人群中有所不同，需要细致入微的理解。公平视角揭示了伤害分布的差异，敦促研究人员和政策制定者在决策过程中解决这些差异。此外，干预措施，即使是善意的，会无意中加剧差距，强调全面危害评估的必要性。将公平考虑纳入研究实践和试验方法，通过研究设计或通过包容性参与者招募等实践，是推进卫生公平的关键。通过优先考虑解决差距和确保研究包容性的干预措施，我们可以建立一个更公平的医疗体系。
