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长新冠与健康不平等:初级保健的作用。

Long COVID and Health Inequities: The Role of Primary Care.

机构信息

Johns Hopkins School of Medicine.

Johns Hopkins Berman Institute of Bioethics.

出版信息

Milbank Q. 2021 Jun;99(2):519-541. doi: 10.1111/1468-0009.12505. Epub 2021 Mar 30.

Abstract

Policy Points An estimated 700,000 people in the United States have "long COVID," that is, symptoms of COVID-19 persisting beyond three weeks. COVID-19 and its long-term sequelae are strongly influenced by social determinants such as poverty and by structural inequalities such as racism and discrimination. Primary care providers are in a unique position to provide and coordinate care for vulnerable patients with long COVID. Policy measures should include strengthening primary care, optimizing data quality, and addressing the multiple nested domains of inequity.

摘要

政策要点 据估计,美国有 70 万人患有“长新冠”,即新冠病毒症状持续超过三周。新冠病毒及其长期后遗症受到贫困等社会决定因素以及种族主义和歧视等结构性不平等的强烈影响。初级保健提供者处于为患有长新冠的脆弱患者提供和协调护理的独特位置。政策措施应包括加强初级保健、优化数据质量和解决多重嵌套的不平等领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38bd/8241274/dd6f4f24a6a6/MILQ-99-519-g002.jpg

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