Progovac Ana M, Cortés Dharma E, Chambers Valeria, Adams Leslie B, Jean-Claude Soso, Willison Charley E, Flores Michael, Creedon Timothy B, Cook Benjamin L
World Med Health Policy. 2020 Sep;12(3):242-255. doi: 10.1002/wmh3.364. Epub 2020 Aug 27.
Far from being an equalizer, as some have claimed, the COVID-19 pandemic has exposed just how vulnerable many of our social, health, and political systems are in the face of major public health shocks. Rapid responses by health systems to meet increased demand for hospital beds while continuing to provide health services, largely via a shift to telehealth services, are critical adaptations. However, these actions are not sufficient to mitigate the impact of coronavirus for people from marginalized communities, particularly those with behavioral health conditions, who are experiencing disproportional health, economic, and social impacts from the evolving pandemic. Helping these communities weather this storm requires partnering with existing community-based organizations and local governments to rapidly and flexibly meet the needs of vulnerable populations.
新冠疫情远非如一些人所宣称的那样是一种均衡器,它恰恰暴露了我们许多社会、卫生和政治体系在面对重大公共卫生冲击时是多么脆弱。卫生系统迅速做出反应,以满足对医院病床日益增长的需求,同时继续提供卫生服务,主要是通过转向远程医疗服务,这是至关重要的适应措施。然而,这些行动不足以减轻冠状病毒对边缘化社区人群的影响,特别是那些有行为健康问题的人,他们正遭受着不断演变的疫情所带来的不成比例的健康、经济和社会影响。帮助这些社区度过这场风暴需要与现有的社区组织和地方政府合作,迅速而灵活地满足弱势群体的需求。