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A Journal of the COVID-19 (Plague) Year
HEC Forum ( IF 1.200 ) Pub Date : 2021-03-23 , DOI: 10.1007/s10730-021-09448-6
Brian H. Childs , Laura Vearrier

The essays in this special issue of HEC Forum provide reflections that make explicit the implicit anthropology that our current pandemic has brought but which in the medical ethics literature around COVID-19 has to a great extent ignored. Three of the essays are clearly “journalistic” as a literary genre: one by a hospital chaplain, one by a medical student in her pre-clinical years, and one by a fourth-year medical student who reports her experience as she completed her undergraduate clerkships and applied for positions in graduate medical education. Other essays explore the pandemic from historical, sociological, and economic perspectives, particularly how triage policies have been found to be largely blind to structural healthcare disparities, while simultaneously unable to appropriately address those disparities. Central issues that need to be addressed in triage are not just whether a utilitarian response is the most just response, but what exactly is the greatest good for the greatest number? Together, the essays in this special issue of HEC Forum create a call for a more anthropological approach to understanding health and healthcare. The narrow approach of viewing health as resulting primarily from healthcare will continue to hinder advances and perpetuate disparities. Health outcomes result from a complex interaction of various social, economic, cultural, historical, and political factors. Advancing healthcare requires contextualizing the health of populations amongst these factors. The COVID-19 pandemic has made us keenly aware of how interdependent our health as a society can be.



中文翻译:

COVID-19(瘟疫)年杂志

本期《HEC论坛》特刊 提供的反映使我们当前的流行病带来了隐性人类学,但在医学伦理学方面,围绕COVID-19的文献在很大程度上被忽略了。其中三篇论文显然是“新闻性”的文学体裁:一篇是由医院牧师撰写的,一篇是由临床前医学专业的学生撰写的,另一篇是由四年级医学专业的学生撰写的,他们在读完本科后就报告了她的经历。文员和申请研究生医学教育的职位。其他论文从历史,社会学和经济的角度探讨了这种流行病,特别是如何发现分流政策在很大程度上看不到结构性医疗保健差异,而同时又无法适当地解决这些差异。分流中需要解决的核心问题不仅是功利主义的回应是否是最公正的回应,而且最大的好处到底是什么?总之,本期特刊中的论文 HEC论坛 呼吁采用更多的人类学方法来理解健康和保健。主要由于医疗保健而导致的对健康的狭will对待将继续阻碍其进步并永久性地拉大差距。健康结果来自各种社会,经济,文化,历史和政治因素的复杂相互作用。在这些因素中,推进医疗保健需要根据人群的健康状况来进行背景分析。COVID-19大流行使我们敏锐地意识到,作为一个社会,我们的健康有多么相互依存。

更新日期:2021-03-23
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