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.
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.
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。
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