Promoting equity in health emergencies through health systems strengthening: lessons learned from disability inclusion in the COVID-19 pandemic.
Promoting equity in health emergencies through health systems strengthening: lessons learned from disability inclusion in the COVID-19 pandemic.
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通过加强卫生系统促进突发卫生事件中的公平：从 COVID-19 大流行中残疾包容性中汲取的经验教训。
DOI：
10.1186/s12939-022-01766-6
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发表时间：
2022-10-25
影响因子：
4.8
通讯作者：
Cieza, Alarcos
中科院分区：
文献类型：
--
作者：
Pearce, Emma;Kamenov, Kaloyan;Barrett, Darryl;Cieza, Alarcos
关键词：
歧视性的卫生系统和服务提供方面的不平等不可避免地在卫生紧急情况下给某些人口造成障碍。残疾人受到新冠肺炎大流行的影响不成比例。他们通常经历三个增加的风险--感染疾病、严重疾病或死亡以及新的或恶化的健康状况。这些增加的风险是由于卫生部门的一系列障碍造成的，包括阻碍获得卫生设施和具体干预措施的物质障碍；阻碍获得卫生信息和/或降低卫生知识普及程度的信息障碍；以及造成污名和排斥的态度障碍，所有这些都加剧了歧视和不平等。此外，国家卫生应急准备和规划可能没有考虑到残疾人的各种需要和优先事项，从而使他们在应对工作中落在后面。本评注讨论了加强包容性卫生系统的重要性，将其作为普及普及的全面卫生应急准备和应对计划的先决条件。在将残疾纳入新冠肺炎大流行病方面吸取的经验教训可为加强卫生系统在恢复工作中的作用提供信息，消除获取和包容方面的潜在障碍，进而改善对未来卫生紧急情况的准备。
Discriminatory health systems and inequalities in service provision inevitably create barriers for certain populations in a health emergency. Persons with disabilities have been disproportionately affected by the COVID-19 pandemic. They commonly experience three increased risks - of contracting the disease, of severe disease or death, and of new or worsening health conditions. These added risks occur due to a range of barriers in the health sector, including physical barriers that prevent access to health facilities and specific interventions; informational barriers that prevent access to health information and/or reduce health literacy; and attitudinal barriers which give rise to stigma and exclusion, all of which add to discrimination and inequality. Furthermore, national health emergency preparedness and planning may fail to consider the needs and priorities of persons with disabilities, in all their diversity, thus leaving them behind in responses. This commentary discusses the importance of inclusive health systems strengthening as a prerequisite for accessible and comprehensive health emergency preparedness and response plans that reach everyone. Lessons learned relating to disability inclusion in the COVID-19 pandemic can inform health systems strengthening in recovery efforts, addressing underlying barriers to access and inclusion, and in turn improving preparedness for future health emergencies.
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DOI：
10.3390/ijerph18126178
发表时间：
2021-06-08
影响因子：
--
作者：
Jesus TS;Bhattacharjya S;Papadimitriou C;Bogdanova Y;Bentley J;Arango-Lasprilla JC;Kamalakannan S;The Refugee Empowerment Task Force International Networking Group Of The American Congress Of Rehabilitation Medicine
通讯作者：
The Refugee Empowerment Task Force International Networking Group Of The American Congress Of Rehabilitation Medicine
DOI：
10.3390/ijerph18126505
发表时间：
2021-06-16
影响因子：
--
作者：
Gupta A;Kavanagh A;Disney G
通讯作者：
Disney G
残疾和 COVID-19 大流行的“快速评估”结果综合：对响应和包容残疾的数据收集的影响。
DOI：
10.3390/ijerph18189701
发表时间：
2021-09-15
影响因子：
--
作者：
Hillgrove T;Blyth J;Kiefel-Johnson F;Pryor W
通讯作者：
Pryor W
影响因子：
4.2
作者：
Bernard A;Weiss S;Rahman M;Ulin SS;D'Souza C;Salgat A;Panzer K;Stein JD;Meade MA;McKee MM;Ehrlich JR
通讯作者：
Ehrlich JR
DOI：
10.1111/jar.12914
发表时间：
2021-11
期刊：
Journal of applied research in intellectual disabilities : JARID
影响因子：
--
作者：
Heslop P;Byrne V;Calkin R;Huxor A;Sadoo A;Sullivan B
通讯作者：
Sullivan B