回应新南威尔士州农村、地区和偏远地区的健康结果以及卫生和医院服务的可及性。
Responding to Health Outcomes and Access to Health and Hospital Services in Rural, Regional and Remote New South Wales.
机构信息
Australian Centre for Health Law Research, Queensland University of Technology, Gardens Point Campus, 2 George Street, Brisbane, Queensland, 4001, Australia.
Centre for Justice and School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove Campus, 2 George Street, Brisbane, Queensland, 4001, Australia.
出版信息
J Bioeth Inq. 2023 Jun;20(2):191-196. doi: 10.1007/s11673-023-10237-8. Epub 2023 Mar 2.
Ethical perspectives on regional, rural, and remote healthcare often, understandably and importantly, focus on inequities in access to services. In this commentary, we take the opportunity to examine the implications of normalizing metrocentric views, values, knowledge, and orientations, evidenced by the recent (2022) New South Wales inquiry into health outcomes and access to hospital and health services in regional, rural and remote New South Wales, for contemporary rural governance and justice debates. To do this, we draw on the feminist inspired approach to rural health ethics involving analysis of power relationships developed by Simpson and McDonald and related ideas from critical health sociology. In presenting this analysis, we extend contemporary thought about spatial health inequities and structural violence.
区域、农村和偏远地区医疗保健的伦理视角通常会关注服务获取方面的不平等，这是可以理解的，也很重要。在本评论中，我们借此机会审视了最近（2022 年）新南威尔士州对新南威尔士州地区、农村和偏远地区的健康结果以及获得医院和卫生服务的情况进行调查所反映的以大都市为中心的观点、价值观、知识和方向常态化的影响，这些影响对当代农村治理和司法辩论产生了影响。为此，我们借鉴了辛普森和麦克唐纳提出的受女权主义启发的农村健康伦理方法，分析了权力关系，并借鉴了批判健康社会学的相关思想。在呈现这一分析时，我们扩展了关于空间健康不平等和结构性暴力的当代思想。
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