Aultman Julie M
The program director of the Medical Ethics and Humanities Program and a professor of medical ethics and humanities in the Department of Family and Community Medicine at Northeast Ohio Medical University in Rootstown, Ohio.
AMA J Ethics. 2019 Mar 1;21(3):E223-231. doi: 10.1001/amajethics.2019.223.
In the case scenario, RJ is a resettled refugee teenager who presents to his physician with vitamin B deficiency, anemia, and symptoms of mental illness. This commentary considers social determinants of refugee health and the moral importance of freedom to achieve well-being. The capabilities framework is used to analyze this case because it offers an ethical framework for understanding and evaluating social determinants of refugee health that either promote or diminish freedom to achieve well-being. By using this framework to consider social isolation as a negative social determinant of refugee health, clinicians and institutions can be caregivers as well as advocates for social justice, fulfilling 2 core ethical obligations to refugee communities.
在这个案例中，RJ是一名重新安置的难民青少年，他因维生素B缺乏、贫血和精神疾病症状前来就医。本评论探讨了难民健康的社会决定因素以及实现幸福的自由的道德重要性。能力框架被用于分析这个案例，因为它提供了一个伦理框架，用于理解和评估难民健康的社会决定因素，这些因素要么促进要么削弱实现幸福的自由。通过使用这个框架将社会孤立视为难民健康的负面社会决定因素，临床医生和机构既可以成为照顾者，也可以成为社会正义的倡导者，履行对难民社区的两项核心伦理义务。
