Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA; Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, 333 Longwood Avenue, Room 634, Boston, MA 02115, USA; Strategic Training Initiative for the Prevention of Eating Disorders: A Public Health Incubator, Boston, MA, USA.
Strategic Training Initiative for the Prevention of Eating Disorders: A Public Health Incubator, Boston, MA, USA; Department of Health Services, University of Washington School of Public Health, Health and Public Health Systems Research, The University of Washington, 1959 Northeast Pacific Street, Box 357660, Seattle, WA 98195, USA.
Psychiatr Clin North Am. 2019 Jun;42(2):319-336. doi: 10.1016/j.psc.2019.01.013.
Over the past decade, a first wave of US public policy advocacy for eating disorders made substantial progress, with passage of the federal 21st Century Cures Act in 2016 as its crowning achievement. However, the US response to eating disorders continues to fall short in several ways. On the cusp of a second wave of policy advocacy, efforts must be broadened to target structural determinants of illness and inequities to maximize clinical impact and diminish suffering. Mental health clinicians, patients, and their families will be essential players in public policy advocacy efforts in this regard.
在过去的十年中，美国公共政策倡导进食障碍的第一波浪潮取得了重大进展，2016 年通过的联邦 21 世纪治愈法案就是其最高成就。然而，美国在应对进食障碍方面仍存在几个不足之处。在第二波政策倡导的前夕，必须扩大努力范围，以针对疾病和不平等的结构性决定因素，以最大限度地提高临床效果并减轻痛苦。精神健康临床医生、患者及其家人将是这方面公共政策倡导工作的重要参与者。
