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一种新方法来定位社区诊所,以促进马里兰州巴尔的摩市的医疗保健可及性并减少健康差距。

A Novel Approach to Locating Community Clinics to Promote Health Care Accessibility and Reduce Health Disparities in Baltimore, Maryland.

机构信息

Columbia University, New York, NY, USA.

Morgan State University, Baltimore, MD, USA.

出版信息

Inquiry. 2023 Jan-Dec;60:469580221135953. doi: 10.1177/00469580221135953.

DOI:10.1177/00469580221135953
PMID:37178129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10184192/
Abstract

Baltimore, Maryland's entrenched racial residential segregation renders the city's world-class medical facilities and services inaccessible to many Black residents living in its most divested neighborhoods. Arguing the need for post-pandemic health care facilities to address health inequities as a practice of care-giving, this article describes a project funded by the National Institutes of Health (NIH) to define a novel, transdisciplinary methodology for identifying ideal vacant sites for conversion into community clinics in Baltimore's most vulnerable neighborhoods. Positioning architecture as a social determinant of health, this paper suggests ethical and methodological reorientations toward a approach to clinic design and placement.

摘要

马里兰州巴尔的摩根深蒂固的种族居住隔离使得这座城市的世界级医疗设施和服务无法为居住在最贫困社区的许多黑人居民提供。本文认为,作为关爱实践,需要在大流行后建立医疗保健设施来解决健康不平等问题。它描述了一个由美国国立卫生研究院(NIH)资助的项目,该项目旨在定义一种新颖的跨学科方法,以确定巴尔的摩最脆弱社区中理想的可改建为社区诊所的空置场地。本文将建筑定位为健康的社会决定因素,建议在诊所设计和选址方面进行伦理和方法上的重新定位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/fbb329859fea/10.1177_00469580221135953-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/3a88f0b02e26/10.1177_00469580221135953-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/a2fe0ab0f6f3/10.1177_00469580221135953-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/debec3335c82/10.1177_00469580221135953-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/76605d27c806/10.1177_00469580221135953-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/f6611498ed05/10.1177_00469580221135953-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/34c335cb7dc6/10.1177_00469580221135953-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/f79a32c97e04/10.1177_00469580221135953-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/00cb7b745d59/10.1177_00469580221135953-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/fbb329859fea/10.1177_00469580221135953-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/3a88f0b02e26/10.1177_00469580221135953-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/a2fe0ab0f6f3/10.1177_00469580221135953-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/debec3335c82/10.1177_00469580221135953-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/76605d27c806/10.1177_00469580221135953-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/f6611498ed05/10.1177_00469580221135953-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/34c335cb7dc6/10.1177_00469580221135953-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/f79a32c97e04/10.1177_00469580221135953-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/00cb7b745d59/10.1177_00469580221135953-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5031/10184192/fbb329859fea/10.1177_00469580221135953-fig9.jpg

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