Accepted author manuscript, 276 KB, PDF document
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Final published version, 758 KB, PDF document
Available under license: CC BY-NC-ND: Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
Final published version
Licence: CC BY-NC-ND: Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
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 -