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本文引用的文献

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Variation in racial/ethnic disparities in COVID-19 mortality by age in the United States: A cross-sectional study.美国 COVID-19 死亡率的种族/民族差异随年龄变化的情况：一项横断面研究。
PLoS Med. 2020 Oct 20;17(10):e1003402. doi: 10.1371/journal.pmed.1003402. eCollection 2020 Oct.
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What is a Bioethics of the Oppressed in the Age of COVID-19?新冠疫情时代的受压迫者生物伦理学是什么？
Am J Bioeth. 2020 Oct;20(10):29-31. doi: 10.1080/15265161.2020.1806397.
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Assessment of Community-Level Disparities in Coronavirus Disease 2019 (COVID-19) Infections and Deaths in Large US Metropolitan Areas.评估美国大型城市地区 2019 年冠状病毒病（COVID-19）感染和死亡的社区级差异。
JAMA Netw Open. 2020 Jul 1;3(7):e2016938. doi: 10.1001/jamanetworkopen.2020.16938.
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Using a Public Health Ethics Framework to Unpick Discrimination in COVID-19 Responses.运用公共卫生伦理框架剖析新冠疫情应对中的歧视现象
Am J Bioeth. 2020 Jul;20(7):114-116. doi: 10.1080/15265161.2020.1779403.
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Rights Don't Stand Alone: Responsibility for Rights in a Pandemic.权利并非孤立存在：大流行期间的权利责任。
Am J Bioeth. 2020 Jul;20(7):169-172. doi: 10.1080/15265161.2020.1779405.
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'Huge hole' in testing data blurs racial, ethnic disparities.测试数据中的“巨大漏洞”模糊了种族和民族差异。
Science. 2020 Jul 17;369(6501):237-238. doi: 10.1126/science.369.6501.237.
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COVID-19 and people experiencing homelessness: challenges and mitigation strategies.新冠病毒肺炎与无家可归者：挑战与缓解策略
CMAJ. 2020 Jun 29;192(26):E716-E719. doi: 10.1503/cmaj.200834.
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Vexing, Veiled, and Inequitable: Social Distancing and the "Rights" Divide in the Age of COVID-19.令人烦恼、隐晦且不公平：新冠疫情时代的社交距离与“权利”鸿沟。
Am J Bioeth. 2020 Jul;20(7):55-61. doi: 10.1080/15265161.2020.1764142. Epub 2020 May 19.
9
Prevalence of SARS-CoV-2 Infection in Residents of a Large Homeless Shelter in Boston.波士顿一大型无家可归者收容所居民中 SARS-CoV-2 感染的流行情况。
JAMA. 2020 Jun 2;323(21):2191-2192. doi: 10.1001/jama.2020.6887.
10
COVID-19 and African Americans.新冠病毒与非裔美国人。
JAMA. 2020 May 19;323(19):1891-1892. doi: 10.1001/jama.2020.6548.

在大流行病期间，如何平衡无家可归者的自主权与公共卫生？

How Should Autonomy of Persons Experiencing Homelessness Be Balanced With Public Health During a Pandemic?

机构信息

Primary care physician at Hennepin County Health Care for the Homeless in Minneapolis, Minnesota.

Nurse practitioner with Hennepin County Health Care for the Homeless in Minneapolis, Minnesota.

出版信息

AMA J Ethics. 2021 Nov 1;23(11):E840-846. doi: 10.1001/amajethics.2021.840.

DOI:10.1001/amajethics.2021.840
PMID:34874251
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8667322/
Abstract

The COVID-19 pandemic underscores long-standing challenges to the health of persons experiencing homelessness. This case commentary considers primary care clinicians' response to a patient who declines COVID-19 testing and isolation. This article also considers other outbreaks in the United States in which the autonomy of persons with low income or persons of color was neglected and calls for community engagement, policies that center interests of marginalized groups, and economic relief, including supportive housing.

摘要

COVID-19 大流行凸显了长期以来无家可归者健康所面临的挑战。本案例评论探讨了初级保健临床医生对拒绝 COVID-19 检测和隔离的患者的应对措施。本文还考虑了美国其他几次暴发的情况，在这些暴发中，忽视了低收入者或有色人种的自主权，并呼吁社区参与、以边缘化群体利益为中心的政策以及包括支持性住房在内的经济救济。