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非裔美国人在 COVID-19 结局方面的差异:理疗医师为黑人幸存者提供康复护理的行动呼吁。

African American Patient Disparities in COVID-19 Outcomes: A Call to Action for Physiatrists to Provide Rehabilitation Care to Black Survivors.

机构信息

From the Department of Orthopaedics and Rehabilitation, Division of Physiatry, Yale New Haven Hospital and Yale School of Medicine, New Haven, Connecticut (CAO); Sholas Medical Consulting, LLC, New Orleans, Louisiana (MGS); Department of Rehabilitation Medicine, University of Texas Health Science Center San Antonio Long School of Medicine, San Antonio, Texas (MV-G); Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, Massachusetts (RDZ, JKS); Brigham and Women's Hospital, Boston, Massachusetts (RDZ, JKS); and Massachusetts General Hospital, Boston, Massachusetts (RDZ, JKS).

出版信息

Am J Phys Med Rehabil. 2020 Nov;99(11):986-987. doi: 10.1097/PHM.0000000000001568.

Abstract

SARS-CoV-2 is a novel and highly contagious coronavirus that has been a major threat to the public's health. As the pandemic has spread across the United States, it has become abundantly clear that vulnerable populations include not only the elderly and individuals with disabilities but also those who are homeless or incarcerated, Latinx Americans, African Americans, and Native Americans. This report is focused on the experience of Black patients, inclusive of African Americans, and recognizes the higher morbidity and mortality in this population. Physiatrists can provide care for the sequelae faced by survivors and prioritize rehabilitation services. Programs must be administered in a way that is geographically accessible to Black communities and demonstrate cultural competence. Future research should focus on the social determinants of health to better understand at-risk populations and improve outcomes.

摘要

SARS-CoV-2 是一种新型且高度传染性的冠状病毒,对公众健康构成了重大威胁。随着疫情在美国的蔓延,显而易见的是,弱势群体不仅包括老年人和残疾人,还包括无家可归者或被监禁者、拉丁裔美国人、非裔美国人和美国原住民。本报告侧重于黑人患者(包括非裔美国人)的经历,并认识到该人群的发病率和死亡率更高。物理治疗师可以为幸存者面临的后遗症提供护理,并优先考虑康复服务。必须以地理上可及的方式向黑人社区提供这些项目,并展示文化能力。未来的研究应侧重于健康的社会决定因素,以更好地了解高危人群并改善结果。

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