Navuluri N, Solomon H S, Hargett C W, Kussin P S
Division of Pulmonary, Allergy, and Critical Care, Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Duke Global Health Institute, Duke University, Durham, NC, USA.
Public Health Action. 2022 Dec 21;12(4):186-190. doi: 10.5588/pha.22.0025.
Framed as "the great-equalizer," the COVID-19 pandemic has intensified pressure to adapt critical care labor and resulted in rationing by healthcare workers across the world.
To critically investigate how hospital intensive care units are critical sites of care labor and examine how rationing highlights key features of healthcare labor and its inequalities.
A practice-oriented ethnographic study was conducted in a United States academic ICU by a medical anthropologist and medical intensivists with global health expertise. The analysis drew on 57 in-depth interviews and 25 months of participant observation between 2020 and 2021.
Embodied labor constitutes sites and practices of shortage or rationing along three domains: equipment and technology, labor, and emotions and energy. The resulting workers' practices of adaptation and resilience point to a potentially more robust global health labor politics based on seeing rationing as work.
Studies of pandemic rationing practices and critical care labor can disrupt too-simple comparative narratives of Global North/South divides. Further studies and efforts must address the toll of healthcare labor.
新冠疫情被视为“伟大的均衡器”，这加大了调整重症护理人力的压力，导致世界各地的医护人员进行资源分配。
批判性地研究医院重症监护病房如何成为护理人力的关键场所，并探讨资源分配如何凸显医疗护理人力的关键特征及其不平等现象。
一位医学人类学家和具有全球健康专业知识的医学重症监护专家在美国一家学术重症监护病房进行了一项以实践为导向的人种志研究。该分析基于2020年至2021年期间的57次深度访谈和25个月的参与观察。
具体劳动在三个领域构成了短缺或资源分配的场所和实践：设备与技术、劳动力以及情感与精力。由此产生的工作者的适应和恢复能力实践表明，基于将资源分配视为工作，可能会形成一种更强大的全球健康劳动政治。
对疫情期间资源分配实践和重症护理人力的研究可以打破关于全球南北差异的过于简单的比较性叙述。进一步的研究和努力必须关注医疗护理人力付出的代价。
