Health Justice

健康正义
  • 文章类型: Journal Article
    背景:在加拿大,物理治疗师有望在进入实践时拥有并证明一些基本能力。在过去的十年里,有关健康正义的知识和技能对医疗保健专业人员变得越来越重要。然而,健康正义仍然是加拿大物理治疗计划中的一个新兴话题,目前的课程可能缺乏明确的内容来发展知识,与健康正义相关的技能和行为,可用于为学生准备入门实践。本文概述了计划范围审查的协议。此范围审查的目的是检查加拿大现有的与健康正义相关的物理治疗入门级能力。方法:将在四个数据库上完成全面的文献检索:OVIDMEDLINE,OVIDEmcare,OVIDEmbase,和EBSCOhostCINAHL。此范围审查将包括定量和定性方法研究设计。灰色文献搜索将涉及高级Google搜索。两位作者将独立筛选标题和摘要,以选择文章进行全文审阅。每个选定论文的数据提取将由两位作者使用建议的数据提取表格独立完成。提取的数据将通过表格和叙述性摘要呈现,以符合本审查的目标和范围。结论:从拟议的审查中收集的数据将确定当前入门级物理治疗课程中与健康正义相关的现有能力和差距。这些信息将有助于学术课程了解如何将与健康正义相关的能力和框架整合到加拿大物理治疗课程中,以确保学生更好地准备提供具有文化能力和包容性的护理,并在实践中促进健康正义。
    Background: In Canada, physiotherapists are expected to possess and demonstrate several essential competencies upon entry-to-practice. Over the past decade, knowledge and skills relating to health justice have become increasingly important for healthcare professionals. However, health justice is still an emerging topic among Canadian physiotherapy programs and current curricula may be lacking explicit content to develop knowledge, skills and behaviours related to health justice which can be used to prepare students for entry-to-practice. This paper outlines a protocol for a planned scoping review. The purpose of this scoping review will be to examine existing Canadian entry-level competencies for physiotherapy related to health justice. Methods: A comprehensive literature search will be completed on four databases: OVID MEDLINE, OVID Emcare, OVID Embase, and EBSCOhost CINAHL. This scoping review will include both quantitative and qualitative methodological study designs. A grey literature search will involve advanced Google searches. Two authors will independently screen titles and abstracts to select articles for full text review. Data extraction for each selected paper will be completed independently by two authors using the proposed data extraction form. The extracted data will be presented through tables and a narrative summary that aligns with the objectives and scope of this review. Conclusion: The data collected from this proposed review will identify existing competencies and gaps related to health justice in current entry-level physiotherapy curricula. This information will assist academic programs in understanding how to integrate and identify competencies and frameworks related to health justice into Canadian physiotherapy programs to ensure students are better prepared to provide culturally competent and inclusive care and promote health justice in practice.
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  • 文章类型: Journal Article
    本评论回应了Qureishi等人的文章。(AmJ流行病。XXXX;XXX(XX):XXXX-XXXX))批评了“积极流行病学”的新建议。“他们认为,正被提出和实施的积极流行病学忽略了超个体社会背景因素,这些因素比其他个体更多地限制了某些个体的福祉,如果应用于人口层面,可能会加剧不平等,在其他危害中。他们提供了一种替代方法来定义有助于健康的因果因素,并寻求将他们的观点建立在人权和经济正义框架中。这篇评论考虑了他们对体育的批评,并建议他们的替代方案以及对积极健康和福祉的所有研究将受益于正在进行的辩论和健康公平和正义哲学的工作。健康和福祉的连贯概念,健康/福祉与正义理论之间的联系,并讨论了能力方法。欢迎为建立在正义基础上的良好健康和福祉的原因和分布进行流行病学研究。
    This commentary responds to the article by Qureishi et al. (Am J Epidemol. XXXX;XXX(XX):XXXX-XXXX)) that criticizes a new proposal for \"positive epidemiology.\" They argue that positive epidemiology as it is being proposed and conducted ignores supra-individual social contextual factors that constrain wellbeing of some individuals more than others, and it could exacerbate inequalities if applied at a population level, among other harms. They offer an alternative approach to defining causal factors that are helpful for wellbeing, and seek to ground their view in human rights and economic justice frameworks. This commentary considers their criticisms of PE and suggests that their alternative as well as all research into positive health and wellbeing would benefit from drawing on the ongoing debates and works in health equity and justice philosophy. A coherent conception of health and wellbeing, the link between health/wellbeing and theories of justice, and the capabilities approach are discussed. The efforts at conducting epidemiology for the causes and distribution of good health and wellbeing grounded in justice is welcomed.
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  • 文章类型: Journal Article
    新的联邦怀孕工人公平法提出了对怀孕工人的重要保护,但是留下了农业工人,在危险的职业环境中任职人数过多。本文重点介绍了工作场所怀孕歧视与健康不平等之间的联系。最后讨论了由移民领导的倡导努力,以消除健康不平等和促进健康正义。
    The new federal Pregnant Workers Fairness Act advances important protections for pregnant workers, but leaves behind agricultural workers, who are overrepresented in hazardous occupational environments. This article highlights the connection between workplace pregnancy discrimination and health inequities. It concludes with a discussion of immigrant-led advocacy efforts to eliminate health inequities and advance health justice.
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  • 文章类型: Letter
    暂无摘要。
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  • 文章类型: Journal Article
    全球卫生面临三重挑战:为未来的大流行做好准备,同时在气候危机中应对当前的大流行。在这篇评论中,我们讨论了COVID-19大流行后对大流行准备的高度关注,以及这可能对消除艾滋病构成的风险,结核病,肝炎和疟疾,在可持续发展目标中确立为具体目标3.3。考虑到它们与气候危机的相互联系,并倡导全球健康正义,我们确定了这种关于优先事项的争议可能暗示的僵局,并就可以对这两个议程以及应对气候变化对健康的后果做出一致贡献的四个行动方面发表评论:加强卫生系统,全球致力于公平获取战略药物,我们得出的结论是,解决社会不平等问题并共同努力促进健康和气候正义。我们得出结论,解决这些问题可以保障最容易受到现有流行病影响的人的健康权,同时增强对未来大流行的准备。此外,解决方案必须超越技术官僚方法,有必要对抗因权力和特权制度而长期存在的不平等现象,加剧了健康和气候危机。最终,卫生正义应指导应对这一复杂的三重全球卫生挑战。
    Global health faces the triple challenge of preparing for future pandemics while responding to current ones in the midst of a climate crisis. In this commentary, we discuss the heightened focus on pandemic preparedness after the COVID-19 pandemic and the risks that this may pose to addressing the elimination of AIDS, tuberculosis, hepatitis and malaria, established in the Sustainable Development Goals as target 3.3. Considering their interconnections with the climate crisis and advocating for global health justice, we identify impasses that such a dispute over priorities can imply, and comment on four fronts of actions that could contribute convergently to both agendas as well as to facing the consequences of climate change to health: strengthening health systems, global commitment to equitable access to strategic medicines, addressing social inequalities and joining efforts for health and climate justice We conclude that addressing these fronts safeguards the health rights of the most vulnerable to existing epidemics while enhancing readiness for future pandemics. Moreover, solutions must transcend technocratic approaches, necessitating the confrontation of inequalities perpetuated by systems of power and privilege fueling both health and climate crises. Ultimately, health justice should guide responses to this intricate triple global health challenge.
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  • 文章类型: Journal Article
    全球,医生和律师在健康正义项目中合作。这些专业人士追求的理想,有一天,地球上的每个人都将受到同样的保护,免受损害健康的危害。健康正义的主要障碍是歧视,贫困和隔离,但是我们知道,除了具体,可量化的障碍,信仰和恐惧等象征性因素在延续健康不公正方面也起着重要作用。所以,2020年3月,当世界卫生组织宣布COVID-19为全球大流行时,2021年6月,全球范围内都有针对该病毒的疫苗,我们收集了四个哥伦比亚土著社区如何对抗COVID-19的原始信息。知道哥伦比亚土著社区经常面临健康不公正,我们的目标是了解象征元素在这种情况下的作用。我们的主要见解是历史上的种族灭绝过程,强者背叛了土著社区的信任,在后者中造成了创伤,导致对接受外部来源的“礼物”的不情愿和怀疑,包括潜在有益的健康治疗。
    Worldwide, medical doctors and lawyers cooperate in health justice projects. These professionals pursue the ideal that, one day, every individual on Earth will be equally protected from the hazards that impair health. The main hindrances to health justice are discrimination, poverty and segregation, but we know that beyond concrete, quantifiable barriers, symbolic elements such as beliefs and fears also play a significant role in perpetuating health injustice. So, between March 2020, when the World Health Organization declared COVID-19 a global pandemic, and June 2021, when vaccines against the virus were globally available, we collected original information about the ways in which four Colombian Indigenous communities confronted COVID-19. Knowing that Colombian Indigenous communities often face health injustices, our goal was to understand the role of symbolic elements in the situation. Our main insight is that historical genocidal processes, in which the powerful have betrayed the trust of Indigenous communities, have created a trauma in the latter, resulting in reluctance and suspicion regarding the acceptance of \'gifts\' from external sources, including potentially beneficial health treatments.
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  • 文章类型: Journal Article
    未满足的法律需求有助于住房,收入,粮食不安全,以及其他损害健康和导致健康不平等的条件。解决健康不公正问题需要为下一代律师提供新的工具,医生,和其他医疗保健专业人员。一个跨专业的合著者团体认为,法律和医学院以及其他大学合作伙伴应该发展和培养学术医学-法律伙伴关系(A-MLPs),它们具有独特的优势来利用服务,教育,和研究资源,促进健康正义。
    Unmet legal needs contribute to housing, income, and food insecurity, along with other conditions that harm health and drive health inequity. Addressing health injustice requires new tools for the next generations of lawyers, doctors, and other healthcare professionals. An interprofessional group of co-authors argue that law and medical schools and other university partners should develop and cultivate Academic Medical-Legal Partnerships (A-MLPs), which are uniquely positioned to leverage service, education, and research resources, to advance health justice.
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  • 文章类型: Journal Article
    本文介绍了一种新型的医学-法律伙伴关系(MLP),该伙伴关系针对的是陷入美国刑事司法系统的人们的健康和司法问题:照顾有刑事系统参与的人的临床医生与公设辩护人之间的伙伴关系。这种伙伴关系提供了一个机会,不仅可以改善患者的健康结果,而且可以促进较少的惩罚性法院处置,例如共同倡导社区康复和治疗,而不是监禁。
    This article describes a new type of medical-legal partnership (MLP) that targets the health and justice concerns of people enmeshed in the U.S criminal justice system: a partnership between clinicians who care for people with criminal system involvement and public defenders. This partnership offers an opportunity to not only improve patient health outcomes but also to facilitate less punitive court dispositions, such as jointly advocating for community-based rehabilitation and treatment rather than incarceration.
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  • 文章类型: Journal Article
    监禁有时可能是一种合理的惩罚形式。然而,美国的监狱系统却面临着令人震惊的正义问题-谁被关进监狱,如何对待被监禁的人,以及下游的个人和社区健康影响。在监狱和监狱工作的医务人员为高度脆弱和服务不足的患者承担着危险的工作。他们的专业承诺值得称赞。但同时,监狱护理削弱了医务人员坚持自己专业标准的能力,有时甚至无法提供基本的健康保护。监狱中的医生被困在对弱势患者的承诺与要求他们参与维护宪法合宪性的系统之间。监狱中的医学道德受到损害,这个问题值得我们注意。
    Imprisonment may sometimes be a justified form of punishment. Yet the U.S. carceral system suffers from appalling problems of justice-in who is put into prisons, in how imprisoned people are treated, and in downstream personal and community health impacts. Medical personnel working in prisons and jails take on risky work for highly vulnerable and underserved patients. They are to be lauded for their professional commitments. Yet at the same time, prison care undercuts the ability of medical personnel to uphold their own professional standards and sometimes fails in even basic health protection. Doctors in prisons are stuck between their commitment to vulnerable patients and complicity in a system that requires their participation to uphold its constitutionality. Medical ethics is frayed in prisons, and the problem deserves our attention.
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  • 文章类型: Journal Article
    《全球公共卫生》特刊《全球视野下的结构能力》的这篇评论提出了:美国对结构能力有什么具体的,它在美国以外的用途是什么,尤其是在“全球南部”?为什么生物医学从业者是美国结构能力的重点?美国结构能力倡导者可以从拉丁美洲深厚而丰富的社会医学传统中学到什么?拉丁美洲和其他非美国社会医学传统可以从美国的结构能力中学到什么?评论指出了国际比较的关键见解包括种族正义运动是美国的社会医学创新者,在生物医学中培养盟友可以增强社区健康运动的影响,跨区域的美国结构能力和社会医学传统的交叉施肥应该是这些领域的优先事项。
    This commentary on the special issue of Global Public Health on structural competency in global perspective asks: what is specific to the U.S. about structural competency, and what is its utility beyond the U.S., especially in the \'global south\'? Why are biomedical practitioners the focus of U.S. structural competency? And what can U.S. structural competency advocates learn from the deep and rich social medicine traditions of Latin America? And is there anything that Latin American and other non-U.S. social medicine traditions might learn from U.S. structural competency? The commentary identifies the crucial insights from international comparisons include that racial justice movements are Social Medicine innovators in the U.S., that cultivating allies within biomedicine can enhance the impact of community health movements, and that cross-fertilising U.S. Structural Competency and social medicine traditions across regions should be a priority for the fields.
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