Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA.
Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA.
Ann Emerg Med. 2021 Nov;78(5):577-586. doi: 10.1016/j.annemergmed.2021.05.003. Epub 2021 Jun 24.
The COVID-19 pandemic has shed light on the ongoing pandemic of racial injustice. In the context of these twin pandemics, emergency medicine organizations are declaring that "Racism is a Public Health Crisis." Accordingly, we are challenging emergency clinicians to respond to this emergency and commit to being antiracist. This courageous journey begins with naming racism and continues with actions addressing the intersection of racism and social determinants of health that result in health inequities. Therefore, we present a social-ecological framework that structures the intentional actions that emergency medicine must implement at the individual, organizational, community, and policy levels to actively respond to this emergency and be antiracist.
COVID-19 大流行揭示了持续存在的种族不平等现象。在这双重大流行的背景下,急诊医学组织宣布“种族主义是公共卫生危机”。因此,我们向急诊临床医生提出挑战,要求他们应对这一紧急情况,并承诺反对种族主义。这一勇敢的旅程始于对种族主义的命名,然后是采取行动,解决种族主义与健康不平等现象产生的健康决定因素之间的交集。因此,我们提出了一个社会生态框架,该框架构建了急诊医学必须在个人、组织、社区和政策层面采取的有意识的行动,以积极应对这一紧急情况并反对种族主义。