Dechert Tracey
Surgery, Boston Medical Center, Boston, Massachusetts, USA.
Trauma Surg Acute Care Open. 2019 Dec 29;4(1):e000416. doi: 10.1136/tsaco-2019-000416. eCollection 2019.
The social determinants of health are increasingly being recognized within the trauma community. These determinants are major drivers of health and have a huge impact on access to surgery and surgical disparities. As trauma surgeons, we continue to struggle with optimizing care for our patients with many social needs and struggle with trauma as a chronic disease. As we are now using public health approaches to combat complex issues such as gun violence, it is ideal to view our work in a wider context which includes addressing the root causes of trauma and advocating for our patients and our communities. In addition, we need to teach and mentor this broader approach for our students and residents.
创伤领域越来越认识到健康的社会决定因素。这些决定因素是健康的主要驱动因素,对手术可及性和手术差距有巨大影响。作为创伤外科医生,我们仍在努力为有多种社会需求的患者优化护理,并应对创伤这一慢性病。由于我们现在采用公共卫生方法来应对诸如枪支暴力等复杂问题,理想的做法是在更广泛的背景下看待我们的工作,其中包括解决创伤的根本原因并为我们的患者和社区发声。此外,我们需要为我们医学生和住院医生传授并指导这种更广泛的方法。