Houtrow Amy, Sabatini Coleen, Jarvis Jessica
Department of Physical Medicine and Rehabilitation, University of Pittsburgh, School of Medicine, Pittsburgh, PA.
Department of Orthopedic Surgery, University of California San Francisco, San Francisco, CA.
J Pediatr Soc North Am. 2024 Feb 12;5(1):634. doi: 10.55275/JPOSNA-2023-634. eCollection 2023 Feb.
Like all children, children with disabilities deserve the fair and just opportunity to be as healthy as possible. There are many barriers to optimal health for children with disabilities. Eliminating health disparities requires removing or minimizing the obstacles that keep children from being healthy. Because pediatric orthopaedic surgeons are often engaged in the clinical management of children with temporary or permanent disabilities, they are uniquely suited to advocate for inclusive orthopaedic care for all children regardless of their circumstances. Pediatric orthopaedic surgeons can promote health equity for children with disabilities by recognizing how ableist beliefs and actions negatively impact the clinical care of children with disabilities and can take action by addressing biases in their clinical practices and beyond. •Children with disabilities face discrimination in healthcare which put them at risk for worsening health disparities.•Health equity for children with disabilities is defined as the "fair and just opportunity to be as healthy as possible and thrive throughout their lives (e.g., from school to the workforce), without discrimination, and regardless of the circumstances in which they were born or live," according to the Maternal and Child Health Bureau's •Orthopaedic surgeons can promote health equity in their practices by fostering an inclusive clinical environment, employing sensitivity in communication, checking and addressing personal biases, seeking practice-level changes, and engaging with the disability community to better understand their lived expertise.
和所有儿童一样，残疾儿童理应获得尽可能健康的公平公正机会。残疾儿童实现最佳健康存在诸多障碍。消除健康差距需要消除或尽量减少阻碍儿童保持健康的障碍。由于小儿骨科医生经常参与患有临时或永久性残疾儿童的临床管理，他们特别适合倡导为所有儿童提供包容性骨科护理，无论其情况如何。小儿骨科医生可以通过认识到能力主义观念和行为如何对残疾儿童的临床护理产生负面影响，并通过解决其临床实践及其他方面的偏见来采取行动，从而促进残疾儿童的健康公平。•残疾儿童在医疗保健中面临歧视，这使他们面临健康差距恶化的风险。•根据母婴健康局的定义，残疾儿童的健康公平是指“在无歧视的情况下，无论其出生或生活的环境如何，都有尽可能健康并在一生中茁壮成长（例如，从学校到职场）的公平公正机会”。•骨科医生可以通过营造包容性临床环境、在沟通中保持敏感、检查和解决个人偏见、寻求实践层面的改变以及与残疾群体互动以更好地了解他们的生活经验，在其医疗实践中促进健康公平。
