关键词: Baltimore community clinics delivery of health care health disparities pandemics social determinants of health

Mesh : Humans Health Promotion Baltimore Health Services Accessibility Ambulatory Care Facilities

来  源:   DOI:10.1177/00469580221135953   PDF(Pubmed)

Abstract:
Baltimore, Maryland\'s entrenched racial residential segregation renders the city\'s world-class medical facilities and services inaccessible to many Black residents living in its most divested neighborhoods. Arguing the need for post-pandemic health care facilities to address health inequities as a practice of care-giving, this article describes a project funded by the National Institutes of Health (NIH) to define a novel, transdisciplinary methodology for identifying ideal vacant sites for conversion into community clinics in Baltimore\'s most vulnerable neighborhoods. Positioning architecture as a social determinant of health, this paper suggests ethical and methodological reorientations toward a compassionate approach to clinic design and placement.
摘要:
巴尔的摩,马里兰州根深蒂固的种族居住隔离使居住在最剥离社区的许多黑人居民无法获得该市世界一流的医疗设施和服务。认为需要建立大流行后的保健设施,以解决保健不平等问题,本文介绍了一个由美国国立卫生研究院(NIH)资助的项目,跨学科的方法,用于确定理想的空置地点,以便在巴尔的摩最脆弱的社区转换成社区诊所。将建筑定位为健康的社会决定因素,本文建议在伦理和方法上重新定位,以富有同情心的方法进行临床设计和安置。
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