Department of Anesthesiology, Columbia University, New York, NY.
Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, CA.
J Neurosurg Anesthesiol. 2022 Jan 1;34(1):116-121. doi: 10.1097/ANA.0000000000000809.
In this narrative review, anesthesiologists at 2 large hospital systems in New York City and San Francisco compare early coronavirus disease 2019 (COVID-19) public health outcomes while considering the role played by social vulnerability and relevant approaches in their 2 cities. An iterative search process allowed for a broad review of medical and public policy research, as well as newspaper reports, expert opinion, and multimedia sources, with the goal of exploring the importance of crowding, the labor force, and social identity in pandemic experiences. Related struggles, pitfalls, and successful interventions in both locales are summarized. Although technology in the form of vaccination will likely play an outsize role in the next phase of the pandemic, our review concludes that we must carefully consider how social vulnerabilities have and will continue to inform equitable and effective access to life-saving resources.
在这篇叙述性评论中，纽约市和旧金山的 2 家大型医院系统的麻醉师在考虑社会脆弱性和相关方法在其 2 个城市中所起的作用的同时，比较了 COVID-19 大流行早期的公共卫生结果。迭代搜索过程允许对医学和公共政策研究、报纸报道、专家意见和多媒体资源进行广泛的审查，目的是探讨拥挤、劳动力和社会认同在大流行经历中的重要性。总结了这两个地方相关的斗争、陷阱和成功的干预措施。尽管以疫苗接种形式出现的技术可能在大流行的下一阶段发挥重要作用，但我们的评论得出的结论是，我们必须仔细考虑社会脆弱性已经并将继续如何影响公平有效地获得救生资源。
