非殖民化卫生政策和实践:美国的疫苗犹豫。

IF 2.6 3区 医学 Q1 NURSING
Barbara Hatcher
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引用次数: 0

摘要

本文利用2021年与COVID-19相关的数据和信息,讨论了殖民化、医疗不信任和种族主义对疫苗犹豫的贡献。疫苗犹豫被定义为“尽管有疫苗,但接受或拒绝疫苗的延迟”。殖民被描述为“资本主义的榨取经济体系来到美国的方式,在霸权和统治体系的支持下,这是保持殖民者和最终他们的金融家手中积累财富和权力的必要组成部分”。殖民化制度所产生的政策和做法,包括与保健有关的政策和做法,继续造成压迫和支持种族主义。人们经历的创伤是殖民的副产品。慢性压力和创伤造成慢性炎症,所有疾病,无论是遗传还是生活方式,都有一个共同的发病机制,即炎症的组成部分。医疗不信任是指缺乏对医疗服务提供者和组织真正关心患者利益、诚实、保密和有能力产生最佳结果的信任。最后,种族主义被描述为日常种族主义和医疗保健中的感知种族主义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Decolonizing health policy and practice: Vaccine hesitancy in the United States.

Using 2021 data and information related to COVID-19, this paper discusses the contribution of colonization, medical mistrust and racism to vaccine hesitancy. Vaccine hesitancy is defined as 'delay in acceptance or refusal of vaccines despite availability'. Colonization is described as the 'way the extractive economic system of capitalism came to the United States, supported by systems of supremacy and domination, which are a necessary part of keeping the wealth and power accumulated in the hands of the colonizers and ultimately their financiers'. The system of colonization results in policies and practices, including those related to health, that continue to create oppression and support racism. Persons experience trauma as the byproduct of colonization. Chronic stress and trauma create chronic inflammation and all diseases, whether genetic or lifestyle, have a common pathogenesis that is a component of inflammation. Medical mistrust is the absence of trust that healthcare providers and organizations genuinely care for patients' interests, are honest, practice confidentiality and have the competence to produce the best possible results. Finally, racism is described as everyday racism and perceived racism in healthcare.

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来源期刊
CiteScore
4.80
自引率
9.10%
发文量
39
审稿时长
>12 weeks
期刊介绍: Nursing Philosophy provides a forum for discussion of philosophical issues in nursing. These focus on questions relating to the nature of nursing and to the phenomena of key relevance to it. For example, any understanding of what nursing is presupposes some conception of just what nurses are trying to do when they nurse. But what are the ends of nursing? Are they to promote health, prevent disease, promote well-being, enhance autonomy, relieve suffering, or some combination of these? How are these ends are to be met? What kind of knowledge is needed in order to nurse? Practical, theoretical, aesthetic, moral, political, ''intuitive'' or some other? Papers that explore other aspects of philosophical enquiry and analysis of relevance to nursing (and any other healthcare or social care activity) are also welcome and might include, but not be limited to, critical discussions of the work of nurse theorists who have advanced philosophical claims (e.g., Benner, Benner and Wrubel, Carper, Schrok, Watson, Parse and so on) as well as critical engagement with philosophers (e.g., Heidegger, Husserl, Kuhn, Polanyi, Taylor, MacIntyre and so on) whose work informs health care in general and nursing in particular.
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