对人民的全人治疗:文化肯定和以社区为基础的综合健康公平方法。

Global advances in integrative medicine and health Pub Date : 2025-07-04 eCollection Date: 2025-01-01 DOI:10.1177/27536130251357522
Bernadette Lim, Monica Hahn
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引用次数: 0

摘要

在这一观点中,我们讨论了基于综合健康公平框架的文化肯定、基于社区的干预措施如何对促进少数民族和移民社区的健康公平至关重要。通过对自由社区诊所及其倡议的案例研究,我们展示了文化肯定,综合医疗保健模式如何进一步促进个人和社区在身体,心理,情感和精神健康和福祉方面的公平结果。目前持续存在的健康差距,特别是在慢性病方面以及少数种族和移民社区获得医疗保健的机会有限,突显了当前医疗保健结构中存在的系统性不平等。通过分享补充药物和祖传药物的惠益,特别是作为低风险和低成本的慢性病干预措施,综合卫生公平方法对于解决这些不公平现象至关重要。文化谦逊对于告知综合健康实践至关重要,因为许多被归类为综合健康的治疗实践都植根于种族和少数民族以及移民社区的文化传统。越来越多的证据表明,投资于加强社会联系和社区网络的干预措施,可以对人口层面的健康结果,包括健康行为产生积极影响。自由社区诊所以其以人为本的全人治疗模式,体现了一种文化肯定、以社区为基础的综合健康方法,该模式整合了六个核心组成部分:祖先和土著治疗、西医、社区治疗、文化、社区参与和社会正义。这个例子强调了综合卫生公平方法如何能够在我们如何理解和提供护理方面创造范式转变,超越支离破碎的医疗保健系统的限制,真正为最需要的社区服务。自由社区诊所及其全人治疗模式为如何将医疗保健重新设想为社会正义的工具提供了一个有希望的框架,为所有个人提供实现最佳健康的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Whole-Person Healing to the People: Culturally Affirming and Community-Based Approaches to Integrative Health Equity.

In this viewpoint, we discuss how culturally affirming, community-based interventions grounded in an integrative health equity framework are essential for the advancement of health equity for racial minorities and immigrant communities. Through a case study of Freedom Community Clinic and its initiatives, we demonstrate how culturally affirming, integrative healthcare models can further advance equitable outcomes in physical, mental, emotional, and spiritual health and well-being for individuals and communities. The current landscape of persistent health disparities, particularly in chronic disease and limited healthcare access for racial minorities and immigrant communities, highlights the systemic inequities embedded in current healthcare structures. An integrative health equity approach is critical for addressing these inequities by sharing access to the benefits of complementary and ancestral medicines, particularly as low-risk and low-cost interventions for chronic disease. Cultural humility is critical for informing the practice of integrative health, as many healing practices categorized within integrative health have roots in the cultural traditions of racial and ethnic minorities and immigrant communities. Growing evidence suggests that investments in interventions that strengthen social ties and community networks can positively influence population-level health outcomes, including health behaviors. Freedom Community Clinic exemplifies a culturally affirming, community-based approach to integrative health with its Whole-Person Healing to the People model, which integrates six core components: ancestral and Indigenous healing, Western medicine, community healing, culture, community engagement, and social justice. This example emphasizes how integrative health equity approaches can create paradigm shifts in how we understand and deliver care, moving beyond the confines of a fragmented healthcare system toward one that truly serves communities that are most in need. Freedom Community Clinic and its Whole-Person Healing to the People model offers a promising framework for how healthcare can be re-envisioned as a tool for social justice, providing opportunities for all individuals to achieve optimal health.

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