COVID-19 Community Stabilization and Sustainability Framework: An Integration of the Maslow Hierarchy of Needs and Social Determinants of Health
COVID-19 Community Stabilization and Sustainability Framework: An Integration of the Maslow Hierarchy of Needs and Social Determinants of Health
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DOI：
10.1017/dmp.2020.109
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发表时间：
2020-10-01
影响因子：
2.7
通讯作者：
Swienton, Raymond
中科院分区：
文献类型：
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作者：
Ryan, Benjamin J.;Coppola, Damon;Swienton, Raymond
各级政府被授权实施冠状病毒病2019(新冠肺炎)保护措施；然而，他们必须考虑如何以及何时放松封锁限制，以限制长期的社会危害和社会不稳定。使用经过深思熟虑的框架和渐进方法的领导人将能够逐步重启社会，同时保持通过封锁措施实现的公共卫生利益。经济脆弱的人口无法忍受长期的封锁，大多数国家缺乏维持全面全国性救援行动的能力。决策者需要了解这种风险，以及马斯洛需求等级和健康的社会决定因素如何指导整个社会的政策。使决策与社会需求保持一致，将有助于确保在管理危机的同时满足社会各阶层的需求。这必须告知逐步解除封锁的进程，以促进恢复商业、教育和就业等社区基础设施，以保护那些最容易受到新冠肺炎影响的人。这项研究提出了一个确定前进道路的框架。它反映了基线要求、条例和建议、触发因素和执行情况。那些希望从新冠肺炎大流行中成功康复的人现在需要采用一个以证据为基础的框架，以确保社区的稳定和可持续性。
All levels of government are authorized to apply coronavirus disease 2019 (COVID-19) protection measures; however, they must consider how and when to ease lockdown restrictions to limit long-term societal harm and societal instability. Leaders that use a well-considered framework with an incremental approach will be able to gradually restart society while simultaneously maintaining the public health benefits achieved through lockdown measures. Economically vulnerable populations cannot endure long-term lockdown, and most countries lack the ability to maintain a full nationwide relief operation. Decision-makers need to understand this risk and how the Maslow hierarchy of needs and the social determinants of health can guide whole of society policies. Aligning decisions with societal needs will help ensure all segments of society are catered to and met while managing the crisis. This must inform the process of incremental easing of lockdowns to facilitate the resumption of community foundations, such as commerce, education, and employment in a manner that protects those most vulnerable to COVID-19. This study proposes a framework for identifying a path forward. It reflects on baseline requirements, regulations and recommendations, triggers, and implementation. Those desiring a successful recovery from the COVID-19 pandemic need to adopt an evidence-based framework now to ensure community stabilization and sustainability.