No Body Is Expendable: Medical Rationing and Disability Justice During the COVID-19 Pandemic
No Body Is Expendable: Medical Rationing and Disability Justice During the COVID-19 Pandemic
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DOI：
10.1037/amp0000709
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发表时间：
2021-04-01
影响因子：
16.4
通讯作者：
Pilarski, Carrie R.
中科院分区：
文献类型：
--
作者：
Andrews, Erin E.;Ayers, Kara B.;Pilarski, Carrie R.
导致新冠肺炎大流行的新型冠状病毒构成的健康威胁对残疾人具有特别的影响，包括对暴露和并发症的脆弱性，以及对能力主义在获得治疗和医疗配给决定方面的作用的关切。治疗新冠肺炎所需医疗设备的短缺，促使分诊指导方针概述了可能需要在受影响的患者中配给机械呼吸机和重症监护病房床位等救生设备的方式。在这篇文章中，我们探讨了医疗配给的现实，以及分类和优先排序的各种方法。我们讨论了能力主义的心理学，对生活质量的看法，健康的社会决定因素，以及对残疾的态度如何影响配给决定和获得护理的机会。除了残疾人社区的基层倡导和行动主义，心理学还在态度、偏见和歧视行为对社会结构的作用方面做出了丰富的贡献。我们呼吁心理学家在预防大流行病方面倡导社会正义，在卫生保健环境中促进残疾正义，呼吁配给方法的透明度和问责制，并支持改变宏观和微观分配战略的政策，以积极减少配给的需要。
The health threat posed by the novel coronavirus that caused the COVID-19 pandemic has particular implications for people with disabilities, including vulnerability to exposure and complications, and concerns about the role of ableism in access to treatment and medical rationing decisions. Shortages of necessary medical equipment to treat COVID-19 have prompted triage guidelines outlining the ways in which lifesaving equipment, such as mechanical ventilators and intensive care unit beds, may need to be rationed among affected individuals. In this article, we explore the realities of medical rationing, and various approaches to triage and prioritization. We discuss the psychology of ableism, perceptions about quality of life, social determinants of health, and how attitudes toward disability can affect rationing decisions and access to care. In addition to the grassroots advocacy and activism undertaken by the disability community, psychology is rich in its contributions to the role of attitudes, prejudice, and discriminatory behavior on the social fabric of society. We call on psychologists to advocate for social justice in pandemic preparedness, promote disability justice in health care settings, call for transparency and accountability in rationing approaches, and support policy changes for macro- and microallocation strategies to proactively reduce the need for rationing.