Assistant Professor, Arthur Labatt Family School of Nursing, Western University, London, ON.
Distinguished University Professor, Women's Health Research Chair in Rural Health, Arthur Labatt Family School of Nursing, Western University, London, ON.
Nurs Leadersh (Tor Ont). 2021 Mar;34(1):20-29. doi: 10.12927/cjnl.2021.26458.
As we struggle with the impacts of a global pandemic, there is growing evidence of the inequitable impacts of this crisis. In this commentary, we argue that actions on health equity to date have been insufficient despite significant scholarship to guide both practice and policy. To move from talk to action on health equity, we propose the following five approaches: (1) reversing the erosion of publicly funded health systems; (2) creating broad economic means to support health; (3) moving health action upstream; (4) challenging ageist and/or ableist discourses; and (5) decolonizing approaches and enacting solidarity. Engaging in these actions will help close the gaps and address disparities made more evident during this global pandemic. The COVID-19 pandemic reinforces the need for us to move from discussion to action if we are to achieve health for all. Adopting a health equity lens is a means of both understanding and stimulating action to readdress the root causes of inequities and work toward a fairer, more just society.
在我们努力应对全球大流行病的影响之际,越来越多的证据表明这场危机带来了不平等的影响。在这篇评论中,我们认为,尽管有大量学术研究为实践和政策提供了指导,但迄今为止,在卫生公平方面的行动还远远不够。为了在卫生公平方面从空谈走向行动,我们提出以下五种方法:(1)扭转公共资助的卫生系统的侵蚀;(2)创造广泛的经济手段来支持卫生;(3)将卫生行动推向上游;(4)挑战年龄歧视和/或能力歧视言论;(5)使方法非殖民化并实施团结。参与这些行动将有助于缩小差距,并解决在这场全球大流行病期间更加明显的差异。COVID-19 大流行强化了我们如果要实现全民健康就必须把讨论转化为行动这一点。采取卫生公平视角既是理解的手段,也是刺激行动的手段,目的是重新解决不平等的根本原因,并努力建设一个更加公平、公正的社会。