Reimagining Rural Health Equity: Understanding Disparities And Orienting Policy, Practice, And Research In Rural America.

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Anne N Sosin, Elizabeth A Carpenter-Song
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Abstract

A narrative has taken hold that public health has failed the US. We argue instead that the US has chronically failed public health, and nowhere have these failures been more apparent than in rural regions. Decades of underinvestment in rural communities, health care, and public health institutions left rural America uniquely vulnerable to the COVID-19 pandemic. Rural communities outpaced urban ones in deaths, and many rural institutions and communities sustained significant impacts. At the same time, the pandemic prompted creative actions to meet urgent health and social needs, and it illuminated opportunities to address long-standing rural challenges. This article draws on our cross-disciplinary expertise in public health and medical anthropology, as well as our research on COVID-19 and rural health equity in northern New England. In this Commentary, we articulate five principles to inform research, practice, and policy efforts in rural America. We contend that advancing rural health equity beyond the pandemic requires understanding the forces that generate rural disparities and designing policies and practices that account for rural disadvantage.

重新认识农村卫生公平:了解差距并指导美国农村地区的政策、实践和研究。
有一种说法认为,美国的公共卫生工作已经失败。而我们认为,美国的公共卫生事业长期处于失败状态,这种失败在农村地区表现得最为明显。几十年来对农村社区、医疗保健和公共卫生机构的投资不足,使得美国农村地区在 COVID-19 大流行时显得格外脆弱。农村社区的死亡人数超过了城市社区,许多农村机构和社区受到了严重影响。与此同时,大流行促使人们采取创造性的行动来满足迫切的健康和社会需求,并为解决农村长期面临的挑战提供了机会。本文借鉴了我们在公共卫生和医学人类学方面的跨学科专业知识,以及我们对 COVID-19 和新英格兰北部农村健康公平的研究。在这篇评论中,我们阐述了美国农村地区研究、实践和政策工作的五项原则。我们认为,要想在大流行病之后促进农村地区的健康公平,就必须了解造成农村地区差异的各种力量,并制定考虑到农村地区不利条件的政策和实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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