精神作为健康的决定因素:新兴的政策,实践和系统
Katelyn N G Long1, Xavier Symons2, Tyler J VanderWeele3
1Katelyn N. G. Long (knlong@fas.harvard.edu), Harvard University, Cambridge, Massachusetts.
Health affairs (Project Hope)
|June 3, 2024
概括
灵性是健康的关键社会决定因素. 将精神因素纳入公共卫生政策和实践可以加强美国以个人和社区为中心的护理.
科学领域:
- 公共卫生 公共卫生
- 健康和疾病的社会学
- 医学伦理 医学伦理
背景情况:
- 精神,包括意义,目的,超越和连接,越来越被认为是健康的关键社会决定因素.
- 最近的专家小组建议倡导将精神因素纳入公共卫生和医学.
- 经验证据将精神与严重疾病和人口健康联系起来,已被系统地审查.
研究的目的:
- 评估专家小组关于将精神因素纳入美国公共卫生和医疗实践的建议的采用情况.
- 确定在广泛应用这些建议时的机遇和挑战.
- 通过考虑精神多样性,为以个人和社区为中心的政策和实践提供信息.
主要方法:
- 对灵性,严重疾病和人口健康 (2000-2022) 的经验证据的系统审查.
- 分析与精神因素相关的当前联邦,州和地方政策和做法.
- 评估现有政策如何反映专家小组的建议.
主要成果:
- 目前关于将精神因素纳入公共卫生和医学方面的建议的采用情况各不相同.
- 这些建议有机会得到更广泛的应用和扩展.
- 确定了与纳入精神方面的考虑相关的潜在危害和益处.
结论:
- 整合精神考虑提供了有希望的方法来加强美国的公共卫生.
- 政策和实践应以精神多样性为基础,以增强以个人和社区为中心的护理.
- 需要进一步的努力,以有效地纳入精神作为健康的社会决定因素.
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