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新冠疫情期间实施的政策带来了意想不到的健康益处:为什么要恢复原状?

Policies enacted during COVID-19 came with unintended health benefits: why go back?

机构信息

Boston University School of Social Work, Boston, MA, US.

University of Massachusetts Lowell, Lowell, MA, US.

出版信息

BMC Health Serv Res. 2023 May 16;23(1):496. doi: 10.1186/s12913-023-09448-x.

Abstract

OBJECTIVES

To explore the impact of COVID-19 on the implementation of bundled interventions to improve the engagement and retention of Black women in HIV care.

METHODS

Pre-implementation interviews conducted between January and April 202 L with 12 demonstration sites implementing bundled interventions for Black women with HIV. Directed content analysis was employed to examine the site interview transcripts.

RESULTS

The pandemic intensified barriers to care and harmful social conditions. However, COVID-19 also forced pivots in health care and social service delivery and some of these changes benefited Black women living with HIV.

CONCLUSIONS

The continuation of policies that support the material needs of Black women with HIV and ease access to care is critical. Racial capitalism impedes the enactment of these policies and thus threatens public health.

摘要

目的

探索 COVID-19 对捆绑干预措施实施的影响,以提高参与和保留感染艾滋病毒的黑人妇女的治疗。

方法

2021 年 1 月至 4 月期间,对 12 个实施捆绑干预措施的示范点进行了预实施访谈,这些措施是针对感染艾滋病毒的黑人妇女的。采用定向内容分析法检查了现场访谈记录。

结果

大流行加剧了护理障碍和有害的社会条件。然而,COVID-19 也迫使医疗保健和社会服务的提供发生转变,其中一些变化使感染艾滋病毒的黑人妇女受益。

结论

继续支持感染艾滋病毒的黑人妇女的物质需求并为她们提供便利的治疗机会至关重要。种族资本主义阻碍了这些政策的实施,从而威胁到公共卫生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba17/10186796/2f16c037a19a/12913_2023_9448_Fig1_HTML.jpg

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