美国原住民医疗保健的三个自治层次与一个长期解决方案。

Three Levels of Autonomy and One Long-Term Solution for Native American Health Care.

作者信息

Wescott Siobhan, Mittelstet Beth

机构信息

Assistant professor in family and community medicine and the assistant director of Indians Into Medicine at the University of North Dakota in Grand Forks.

Pediatrician pursuing a career in Native health.

出版信息

AMA J Ethics. 2020 Oct 1;22(10):E856-861. doi: 10.1001/amajethics.2020.856.

DOI:10.1001/amajethics.2020.856

PMID:33103647

Abstract

Native Americans have twice the poverty rate of the general US population, suffer significant health inequity, and are chronically underrepresented, at only 0.08%, in the US physician workforce. The COVID-19 pandemic has illuminated key ethical, clinical, and economic complexities in health decision making among Native patients. This article discusses 3 levels of autonomy relevant to health decisions, including taking care of our own by increasing numbers of Native medical students.

摘要

美国原住民的贫困率是美国普通人口的两倍，面临严重的健康不平等，而且在美国医生队伍中的代表性长期不足，仅占0.08%。新冠疫情凸显了美国原住民患者健康决策中关键的伦理、临床和经济复杂性。本文讨论了与健康决策相关的三个自主层面，包括通过增加美国原住民医学生的数量来照顾我们自己的群体。