Yolanda Ogbolu, PhD, CRNP, FNAP, FAAN, University of Maryland Baltimore.
J Addict Nurs. 2022;33(3):198-199. doi: 10.1097/JAN.0000000000000474.
In recent years there has been increased interest in the social determinants of health (SDoH) by nurses and other healthcare professionals. Numerous seminars and discussions among nurses and other health professionals have focused on addressing social, economic, and environmental factors that impact the health and wellbeing of individuals and communities. Although these conversations are important and represent a movement towards health and social justice, they may be insufficient to address health inequities. There is an urgent need to move beyond community surveillance to implementing health equity programs and policies, especially in marginalized communities. Such is the case in Baltimore City, Maryland, where a nurse-led, community-based network of stakeholders transformed a grassroots health equity model to a state-mandated SDoH Taskforce focusing on a local community. The purpose of this column is to present a short case study that helps nurses understand their potential role in advancing health equity through policy.
近年来,护士和其他医疗保健专业人员对健康的社会决定因素(SDoH)越来越感兴趣。护士和其他卫生专业人员之间举行了多次研讨会和讨论,重点讨论了影响个人和社区健康和福祉的社会、经济和环境因素。虽然这些对话很重要,代表了朝着健康和社会正义迈进的一步,但它们可能不足以解决健康不平等问题。迫切需要超越社区监督,实施卫生公平计划和政策,特别是在边缘化社区。马里兰州巴尔的摩市就是这种情况,那里的一个由护士领导的、以社区为基础的利益相关者网络将基层卫生公平模式转变为一个关注当地社区的州授权 SDoH 工作组。本专栏的目的是提出一个简短的案例研究,帮助护士理解他们通过政策推进卫生公平的潜在作用。