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Health systems and quality of healthcare: bringing back missing discussions about gender and sexuality

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Health systems and quality of healthcare: bringing back missing discussions about gender and sexuality. / Porroche-Escudero, Ana.
In: Health Systems, Vol. 13, No. 1, 29.02.2024, p. 24-30.

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Porroche-Escudero A. Health systems and quality of healthcare: bringing back missing discussions about gender and sexuality. Health Systems. 2024 Feb 29;13(1):24-30. Epub 2022 Jul 4. doi: 10.1080/20476965.2022.2096487

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@article{1ffffdcd899e40039334c130b33c940d,
title = "Health systems and quality of healthcare: bringing back missing discussions about gender and sexuality",
abstract = "Gender and sexuality are recognised as social determinants of health. While gender and sexuality are becoming important frameworks guiding many disciplines and studies, discussions about quality of healthcare (QHC) lack a sufficient focus on these. When QHC studies have considered gender and sexuality the primary focus tends to be on the practice of individual professionals, patients{\textquoteright} differential health seeking behaviours or outcomes. This commentary eapplies a gender and sexuality lens to Donabedian{\textquoteright}s framework to further understand the influence of gender and sexuality in shaping QHC. The framework illustrates how the very foundations of QHC (institutional structures, processes and outcomes), can increase or reduce inequalities in QHC linked to gender, sexuality (as well as other factors). The commentary suggests practices that would reduce these inequalities. In the context of present debates over inequality in medicine, science and global health, this commentary is a reminder that health systems have a critical role to play in ensuring that QHC does not perpetuate them.",
keywords = "Gender, health systems, quality improvement, quality of healthcare, sexuality",
author = "Ana Porroche-Escudero",
year = "2024",
month = feb,
day = "29",
doi = "10.1080/20476965.2022.2096487",
language = "English",
volume = "13",
pages = "24--30",
journal = "Health Systems",
issn = "2047-6973",
publisher = "Palgrave Macmillan",
number = "1",

}

RIS

TY - JOUR

T1 - Health systems and quality of healthcare

T2 - bringing back missing discussions about gender and sexuality

AU - Porroche-Escudero, Ana

PY - 2024/2/29

Y1 - 2024/2/29

N2 - Gender and sexuality are recognised as social determinants of health. While gender and sexuality are becoming important frameworks guiding many disciplines and studies, discussions about quality of healthcare (QHC) lack a sufficient focus on these. When QHC studies have considered gender and sexuality the primary focus tends to be on the practice of individual professionals, patients’ differential health seeking behaviours or outcomes. This commentary eapplies a gender and sexuality lens to Donabedian’s framework to further understand the influence of gender and sexuality in shaping QHC. The framework illustrates how the very foundations of QHC (institutional structures, processes and outcomes), can increase or reduce inequalities in QHC linked to gender, sexuality (as well as other factors). The commentary suggests practices that would reduce these inequalities. In the context of present debates over inequality in medicine, science and global health, this commentary is a reminder that health systems have a critical role to play in ensuring that QHC does not perpetuate them.

AB - Gender and sexuality are recognised as social determinants of health. While gender and sexuality are becoming important frameworks guiding many disciplines and studies, discussions about quality of healthcare (QHC) lack a sufficient focus on these. When QHC studies have considered gender and sexuality the primary focus tends to be on the practice of individual professionals, patients’ differential health seeking behaviours or outcomes. This commentary eapplies a gender and sexuality lens to Donabedian’s framework to further understand the influence of gender and sexuality in shaping QHC. The framework illustrates how the very foundations of QHC (institutional structures, processes and outcomes), can increase or reduce inequalities in QHC linked to gender, sexuality (as well as other factors). The commentary suggests practices that would reduce these inequalities. In the context of present debates over inequality in medicine, science and global health, this commentary is a reminder that health systems have a critical role to play in ensuring that QHC does not perpetuate them.

KW - Gender

KW - health systems

KW - quality improvement

KW - quality of healthcare

KW - sexuality

U2 - 10.1080/20476965.2022.2096487

DO - 10.1080/20476965.2022.2096487

M3 - Journal article

VL - 13

SP - 24

EP - 30

JO - Health Systems

JF - Health Systems

SN - 2047-6973

IS - 1

ER -