促进特殊医疗需求儿童的健康平等和儿童福利参与
Amanda A Simard1, Emma Gerstenzang2, Sarah Gerstenzang3
1Department of Pediatrics, New York-Presbyterian Morgan Stanley Children's Hospital/Columbia University Irving Medical Center, New York, New York.
Hospital pediatrics
|January 15, 2025
概括
种族主义导致儿童福利系统对有特殊医疗需求的儿童的退休延迟. 解决系统性不平等对于公平的以家庭为中心的护理和防止压迫循环至关重要.
科学领域:
- 儿科健康的公平性.
- 儿童福利制度的差异 儿童福利制度的差异
- 健康的社会决定因素
背景情况:
- 特殊医疗需求儿童 (CSHCN) 和他们的家庭在医疗保健和社会服务方面可能面临重大挑战.
- 在儿童福利系统中,种族不成比例是显而易见的,黑人儿童被不成比例地参与其中.
研究的目的:
- 探讨种族主义是与儿童保护服务 (CPS) 相关的CSHCN释放延迟的根本原因.
- 检查儿童福利系统中种族不成比例的起源和后果.
- 突出卫生保健系统在延续不平等中的作用.
主要方法:
- 对患有21型综合症和严重营养不良的婴儿进行案例研究分析.
- 探索关于种族主义,儿童福利和医疗保健不平等现有文学.
- 讨论导致种族不成比例的系统因素.
主要成果:
- 儿童福利系统中的种族偏见可能导致CSHCN的延迟出院.
- 对黑人家庭的不成比例的CPS参与可能会破坏健康,福祉和对医疗保健的信任.
- 医疗保健系统可能无意中延续种族差异.
结论:
- 儿科提供者在通过采用公平,以家庭为中心和创伤为基础的护理实践来缓解种族差异方面发挥着关键作用.
- 解决儿童福利和医疗保健中的系统性种族主义对于改善边缘化家庭的结果至关重要.
- 需要倡导政策变化,以减少种族差异,并支持参与儿童福利的家庭.
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