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弥合医疗服务获取差距:新冠疫情公共卫生紧急事件之外的策略

Bridging healthcare access: strategies beyond the COVID-19 public health emergency.

作者信息

Razmi Amaya Najma, Bajaj Simar S, Stanford Fatima Cody

机构信息

Harvard University, Cambridge, MA USA.

Department of Medicine-Division of Endocrinology-Neuroendocrine, Massachusetts General Hospital, MGH Weight Center, 50 Stanford Street, 4th Floor, Boston, MA USA.

出版信息

Discov Health Syst. 2024;3(1):66. doi: 10.1007/s44250-024-00100-x. Epub 2024 Aug 20.

Abstract

Issued in January 2020, the federal Public Health Emergency (PHE)'s termination was ultimately inevitable and has prompted reflection over how the pandemic elicited relatively progressive reforms to healthcare. Although we are concerned that the PHE's termination poses a significant threat to public health and equity, we believe that physicians, along with systemic changes, can provide critical support for patients as they navigate a shifting health policy landscape. In response to this evolving landscape, the article emphasizes the pivotal role of physicians and healthcare institutions in safeguarding patient access to care. It proposes strategies such as community-based workshops, patient navigators, and streamlined technology-driven redetermination processes to support vulnerable populations during this transition. Physicians are encouraged to engage in advocacy efforts, from voicing concerns at health meetings to collaborating with non-profit organizations and the media, to influence data-driven policy changes that prioritize patient safety and equitable access. Marginalized patients should not be slipping through the cracks.

摘要

2020年1月发布的联邦公共卫生紧急状态(PHE)最终不可避免地结束了,这引发了人们对疫情如何推动医疗保健领域相对进步的改革的反思。尽管我们担心PHE的结束对公众健康和公平构成重大威胁,但我们相信,医生以及系统性变革能够在患者应对不断变化的卫生政策格局时提供关键支持。针对这一不断演变的格局,本文强调了医生和医疗机构在保障患者获得医疗服务方面的关键作用。文章提出了一些策略,如社区研讨会、患者导航员以及简化的技术驱动重新确定程序,以在这一过渡期间支持弱势群体。鼓励医生参与宣传工作,从在健康会议上表达关切到与非营利组织和媒体合作,以影响以数据为驱动的政策变革,这些变革将患者安全和公平获得医疗服务作为优先事项。边缘化患者不应被忽视。

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