健康筛查和随访的结构性决定因素对改善儿童健康公平有何要求？

Q2 Social Sciences

AMA journal of ethics Pub Date : 2025-09-01 DOI:10.1001/amajethics.2025.695

Brigid Garrity, Danielle Cullen, Haeyeon Hong

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引用次数: 0

摘要

越来越多的证据表明，解决健康的不良结构性驱动因素（aSDoH）如何能够改善儿童的整体健康，从而加强儿科医生在促进生命早期健康公平方面的作用。然而，aSDoH筛查和干预的最佳策略仍不清楚。本文探讨了妨碍公平的aSDoH筛查、转诊和干预的障碍，质疑了当主要目标是将家庭与必要的资源联系起来时，筛查工具验证的必要性。它还探讨了护理人员的参与、结果记录背后的关键考虑因素以及多语言筛查的必要性。

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What Would Be Required of Structural Determinants of Health Screening and Follow-Up to Improve Children's Health Equity?

A growing body of evidence considers how addressing adverse structural drivers of health (aSDoH) can improve children's overall health, thereby reinforcing pediatricians' role in advancing health equity early in life. Yet the optimal strategy for aSDoH screening and intervention remains unclear. This article examines barriers to equitable aSDoH screening, referral, and intervention, questioning the necessity of screening tool validation when the primary goal is to connect families with necessary resources. It also explores caregiver engagement, key considerations behind documentation of results, and the need for multilingual screening.

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来源期刊

AMA journal of ethics Social Sciences-Health (social science)

CiteScore

1.90

自引率

0.00%

发文量

146

期刊介绍： The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.