Spirituality As A Determinant Of Health: Emerging Policies, Practices, And Systems.

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Katelyn N G Long, Xavier Symons, Tyler J VanderWeele, Tracy A Balboni, David H Rosmarin, Christina Puchalski, Teresa Cutts, Gary R Gunderson, Ellen Idler, Doug Oman, Michael J Balboni, Laura S Tuach, Howard K Koh
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Abstract

Reimagining public health's future should include explicitly considering spirituality as a social determinant of health that is linked to human goods and is deeply valued by people and their communities. Spirituality includes a sense of ultimate meaning, purpose, transcendence, and connectedness. With that end in mind, we assessed how recommendations recently issued by an expert panel for integrating spiritual factors into public health and medicine are being adopted in current practice in the United States. These recommendations emerged from a systematic review of empirical evidence on spirituality, serious illness, and population health published between 2000 and 2022. For each recommendation, we reviewed current federal, state, and local policies and practices recognizing spiritual factors, and we considered the ways in which they reflected the panel's recommendations. In this article, we highlight opportunities for broader application and scale while also noting the potential harms and benefits associated with incorporating these recommendations in various contexts. This analysis, while respecting the spiritual and religious diversity of the US population, identifies promising approaches for strengthening US public health by integrating spiritual considerations to inform person- and community-centered policy and practice.

精神是健康的决定因素:新兴政策、实践和系统。
重新构想公共卫生的未来应包括明确考虑精神因素,将其作为健康的一个社会决定因素,它与人类产品相关联,并深受人们及其社区的重视。灵性包括一种终极意义、目的、超越和联系感。有鉴于此,我们评估了一个专家小组最近提出的将精神因素纳入公共卫生和医疗的建议在美国目前的实践中是如何被采纳的。这些建议来自于对 2000 年至 2022 年间发表的有关灵性、严重疾病和人口健康的实证证据的系统性回顾。对于每项建议,我们都回顾了当前联邦、州和地方承认精神因素的政策和实践,并考虑了这些政策和实践反映小组建议的方式。在本文中,我们强调了更广泛应用和推广的机会,同时也指出了在不同情况下采纳这些建议的潜在危害和益处。这项分析在尊重美国人口的精神和宗教多样性的同时,通过整合精神因素,为以个人和社区为中心的政策和实践提供信息,确定了加强美国公共卫生的可行方法。
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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