Smith Wally R, Valrie Cecelia, Sisler India
Virginia Commonwealth University, Box 980306, 730 East Broad Street, Suite 430, Richmond, VA 23298-0306, USA.
Department of Psychology, Virginia Commonwealth University, 806 West Franklin Street, Box 842018, Richmond, VA 23284-2018, USA. Electronic address: https://twitter.com/DrCeceliaValrie.
Hematol Oncol Clin North Am. 2022 Dec;36(6):1063-1076. doi: 10.1016/j.hoc.2022.08.008.
Wealth begets health: the health care system in the United States is run by and benefits the groups that have traditionally held power. Systems of structural racism and health care disparities persist. Patients with sickle cell disease (SCD) remain particularly vulnerable to disparities. They suffer from stigmas, lack of well-trained providers, and from misalignment of their needs with the priorities of their health care teams. These critically important burdens may actually be worsening rather than improving mortality for individuals living with SCD. Changes must be made at the federal, state, and local levels in order to address these systems of inequity and save vulnerable lives.
美国的医疗保健系统由传统上掌握权力的群体运营并使其受益。结构性种族主义和医疗保健差距的体系依然存在。镰状细胞病(SCD)患者仍然特别容易受到差距的影响。他们遭受污名化、缺乏训练有素的医疗服务提供者,以及自身需求与医疗团队优先事项不一致的问题。这些极其重要的负担实际上可能正在使SCD患者的死亡率恶化而非改善。必须在联邦、州和地方各级进行变革,以解决这些不公平体系并拯救脆弱的生命。