Lipsky Tehilla Berger, Lang Kathryn, Kroen Ezriel, Robbins Laura, Gabbay Ezra
Department of Medical Ethics, Weill Cornell Medicine, New York, NY, USA.
New York Medical College, New York, NY, USA.
J Relig Health. 2025 Feb;64(1):603-614. doi: 10.1007/s10943-024-02226-x. Epub 2025 Jan 3.
The Ultra-Orthodox (Haredi) Jewish Community in New York City suffered significantly during the COVID-19 pandemic. The community came under public scrutiny after some members staunchly advocated for reopening of certain resources central to community culture. This study utilizes qualitative techniques to examine the perspectives of medical providers that serve the Haredi community toward pandemic-related government sanctions, as well as the resultant effects the restrictions had on community receipt of healthcare. We interviewed 15 community-based healthcare providers regarding their experiences caring for the Haredi community during the pandemic and identified five themes that encapsulate their experience, subdivided into those that focus on the pandemic experience and those that inform community structural determinants of health. The themes identified were (1) The beginning of the pandemic impacted receipt of healthcare within the community; (2) COVID-19 rules were confusing, strict, and often non-transparent; (3) The COVID-19 response led to mistrust that continues to impact receipt of medical care; (4) Community-specific characteristics shaped its member's experiences; and (5) The providers serving the Haredi community identify a baseline mistrust of the outside world among their constituents that make the community prone to feel targeted. The study's findings underscore deficits in the public health response that exacerbated feelings of distrust among community members which continues to negatively impact its receipt of medical care.
纽约市的极端正统派（哈雷迪）犹太社区在新冠疫情期间遭受了重创。在一些社区成员坚决主张重新开放某些对社区文化至关重要的资源后，该社区受到了公众的审视。本研究运用定性技术，考察为哈雷迪社区提供服务的医疗服务提供者对与疫情相关的政府制裁的看法，以及这些限制措施对社区获得医疗保健所产生的影响。我们采访了15位社区医疗服务提供者，了解他们在疫情期间照顾哈雷迪社区的经历，并确定了五个主题来概括他们的经历，这些主题又细分为关注疫情经历的主题和反映社区健康结构决定因素的主题。确定的主题包括：（1）疫情初期影响了社区内的医疗保健获取；（2）新冠疫情防控规定令人困惑、严格且往往不透明；（3）对新冠疫情的应对导致了不信任，这种不信任继续影响医疗服务的获取；（4）社区特定特征塑造了其成员的经历；（5）为哈雷迪社区服务的提供者发现其选民对外部世界存在一种基本的不信任，这使得该社区容易感到受到针对。该研究的结果凸显了公共卫生应对措施中的不足，这些不足加剧了社区成员之间的不信任感，继续对其获得医疗服务产生负面影响。
