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新冠疫情需要社会医学应对措施。

Covid-19 Requires a Social Medicine Response.

作者信息

Trout Lucas Jacob, Kleinman Arthur

机构信息

Department of Global Health and Social Medicine, Harvard Medical School, Harvard University, Boston, MA, United States.

出版信息

Front Sociol. 2020 Oct 26;5:579991. doi: 10.3389/fsoc.2020.579991. eCollection 2020.

Abstract

Covid-19 is an inherently social disease, with exposure, illness, care, and outcomes stratified along familiar social, economic, and racial lines. However, interventions from public health and clinical medicine have focused primarily on the scale-up of technical and biomedical solutions that fail to address the social contexts driving its distribution and burden. Fused with a moment of reckoning with racial injustice and economic inequality in the U.S. and across the world, these disparities charge policy leaders to develop, study, and share a response grounded in social medicine. As a yardstick for formulating, evaluating, and implementing health policy and care delivery, social medicine recommends at least three things: integrating health, social, and economic responses; bringing care to the points of greatest need; and focusing on broad equity-driven reforms in the pandemic's wake. With these tools, Covid-19 presents us with an opportunity to address the inequities that the disease highlights, exploits, and may otherwise entrench.

摘要

新冠病毒病本质上是一种社会性疾病,其暴露、患病、护理及结局情况依常见的社会、经济和种族界限而分层。然而,公共卫生和临床医学的干预措施主要集中在扩大技术和生物医学解决方案的规模上,而这些方案未能解决导致其传播和负担的社会背景问题。在美国乃至全球对种族不公和经济不平等进行反思的时刻,这些差异促使政策制定者制定、研究并分享基于社会医学的应对措施。作为制定、评估和实施卫生政策及医疗服务的衡量标准,社会医学至少建议三件事:整合卫生、社会和经济应对措施;将护理送到最需要的地方;关注疫情过后以广泛公平为导向的改革。借助这些工具,新冠病毒病为我们提供了一个机会,来解决该疾病所凸显、利用并可能进一步加剧的不平等问题。

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Covid-19 Requires a Social Medicine Response.新冠疫情需要社会医学应对措施。
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COVID-19 and Inequalities.新冠疫情与不平等现象
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COVID-19 exacerbating inequalities in the US.新冠疫情加剧美国的不平等现象。
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Fair Allocation of Scarce Medical Resources in the Time of Covid-19.新冠疫情期间稀缺医疗资源的公平分配
N Engl J Med. 2020 May 21;382(21):2049-2055. doi: 10.1056/NEJMsb2005114. Epub 2020 Mar 23.
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History in a Crisis - Lessons for Covid-19.危机中的历史——新冠疫情的教训
N Engl J Med. 2020 Apr 30;382(18):1681-1683. doi: 10.1056/NEJMp2004361. Epub 2020 Mar 12.

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