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变革的号角:将种族歧视和结构性健康不平等问题置于中心的MLP必要性。

A Clarion Call for Change: The MLP Imperative to Center Racial Discrimination and Structural Health Inequities.

作者信息

Matthew Dayna Bowen, Benfer Emily A

机构信息

GEORGE WASHINGTON UNIVERSITY LAW SCHOOL, WASHINGTON, DC, USA.

PRINCETON UNIVERSITY EVICTION LAB, PRINCETON, NJ, USA.

出版信息

J Law Med Ethics. 2023;51(4):735-747. doi: 10.1017/jme.2023.153. Epub 2024 Mar 13.

DOI:10.1017/jme.2023.153
PMID:38477284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10951182/
Abstract

Across the country, legal and health care professionals who understand that health outcomes are most influenced by social and environmental conditions have improved patient health by adopting the interdisciplinary MLP health care delivery model. However, the MLP field cannot advance population health, let alone long-term health equity, until it addresses the structural determinants of health inequity that are rooted in discrimination, segregation, and other forms of racial and ethnic subordination.

摘要

在全国范围内,那些明白健康结果受社会和环境条件影响最大的法律和医疗保健专业人员,通过采用跨学科的MLP医疗服务提供模式改善了患者健康。然而,MLP领域若不解决植根于歧视、隔离以及其他形式的种族和族裔从属关系的健康不平等的结构性决定因素,就无法促进人群健康,更不用说长期的健康公平了。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1d4/10951182/713f27f69d83/S1073110523001535_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1d4/10951182/713f27f69d83/S1073110523001535_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1d4/10951182/713f27f69d83/S1073110523001535_fig1.jpg

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本文引用的文献

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JAMA. 2023 May 16;329(19):1682-1692. doi: 10.1001/jama.2023.5965.
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The Social Determinants of Health, Health Disparities, and Health Justice.社会决定因素与健康、健康差异和健康公正。
J Law Med Ethics. 2022;50(4):641-649. doi: 10.1017/jme.2023.3.
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Critical Perspectives to Advance Educational Equity and Health Justice.推进教育公平和健康正义的批判性视角。
J Law Med Ethics. 2022;50(4):776-790. doi: 10.1017/jme.2023.19.
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Health Justice Through the Lens of Power.健康正义的权力视角
J Law Med Ethics. 2022;50(4):656-662. doi: 10.1017/jme.2023.5.
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Racial residential segregation shapes the relationship between early childhood lead exposure and fourth-grade standardized test scores.居住种族隔离塑造了儿童早期铅暴露与四年级标准化考试成绩之间的关系。
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Health Justice: A Framework (and Call to Action) for the Elimination of Health Inequity and Social Injustice.健康正义:消除健康不平等和社会不公的框架(及行动呼吁)
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