Resident physician in internal medicine at the Medical College of Wisconsin Affiliated Hospitals in Milwaukee, Wisconsin.
Senior vice president for community health equity at Rush University Medical Center in Chicago, Illinois.
AMA J Ethics. 2022 Apr 1;24(4):E254-260. doi: 10.1001/amajethics.2022.254.
Physicians are ethically bound to respond to undocumented, underinsured, and uninsured patients' health needs, even those demanding complex, expensive interventions, such as organ transplantation. A social medicine skill set of structural competency, allyship, accompaniment, and activism is required to best serve patients and communities and should be widely regarded as core competencies for all health professionals. This commentary on a case considers the nature and scope of the skill of activism, specifically.
医生在道德上有义务回应无证、保险不足和没有保险的患者的健康需求，即使是那些需要复杂、昂贵干预措施的患者，如器官移植。需要具备结构能力、盟友关系、陪伴和行动主义的社会医学技能，以最好地为患者和社区服务，并且应该被广泛视为所有卫生专业人员的核心能力。本文对一个案例的评论特别考虑了行动主义技能的性质和范围。
