为英语水平有限的人群提供公共卫生伦理框架
Samantha A Chipman1, Karen Meagher2, Amelia K Barwise2
1Emory University.
The American journal of bioethics : AJOB
|June 28, 2023
概括
语言障碍对2560万英语水平有限的美国人 (LEP) 的健康公平有重大影响. 解决语言作为健康的社会决定因素对于公平的公共卫生伦理和政策至关重要,尤其是COVID-19的差异凸显了这一点.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 美国有2560万个人的英语能力有限 (LEP).
- 有效的沟通对公共健康至关重要.
- 现有的卫生政策往往未能充分解决LEP人口问题.
研究的目的:
- 探索语言作为健康的社会决定因素.
- 确定与LEP人群相关的公共卫生价值和指导方针.
- 检查影响LEP个人的COVID-19大流行期间的伦理失败.
主要方法:
- 关于语言作为健康的社会决定因素的文学评论.
- 分析公共卫生伦理框架,特别是APHA的核心价值观.
- 关于COVID-19流行病对LEP人口的影响的案例研究.
主要成果:
- 语言障碍加剧了健康差异.
- 公共卫生伦理框架可以识别服务LEP社区的差距.
- 随着COVID-19大流行,对LEP患者的政策和道德实施出现了严重的失败.
结论:
- 承认语言是健康的社会决定因素是必不可少的.
- 必须重新定义公共卫生责任,以包括语言获取.
- 需要改进政策和伦理实践,以确保LEP人群的健康公平.
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