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1.
Barbarói ; (58): 141-153, jan.-jun. 2021. ilus
Artículo en Portugués | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1150774

RESUMEN

O objetivo desse estudo é analisar e investigar a qualidade de vida em pessoas com lesão medular, através de uma revisão sistemática. Buscaram-se os principais trabalhos publicados no período de 2006 a 2019, nas bases de dados CAPES e Scielo. Todos os estudos utilizaram medidores quantitativos sobre qualidade de vida, os quais são: o WHOQOL-Bref e o SF-36. Os resultados de forma geral mostraram que o sujeito com lesão medular avalia sua qualidade de vida como boa e sua saúde de forma geral satisfatória. O domínio físico e do meio ambiente foram os domínios mais citados nas pesquisas como um fator negativo, sendo ele relacionado com a questão da acessibilidade. Verificou-se que estudos futuros são de extrema importância, para compreender a qualidade de vida desses indivíduos, assim como para a melhoria de políticas públicas para questão de acessibilidade e autonomia desses sujeitos.(AU)


The aim of this study is to analyze and investigate the quality of life in people with spinal cord injury, through a systematic review. The main studies published in the period 2006 to 2019 were searched in the CAPES, Scielo. All the studies used quantitative measure about quality of life, which were the WHOQOL-Bref and the SF-36. The results generally showed that the subject with spinal cord injury evaluates their quality of life as good and their health in a general satisfactory manner. The physical and environmental domains were the most cited domains in the researches as a negative factor, being related to the issue of accessibility. It was found that future studies are extremely important to understand the quality of life of these individuals, as well as for the improvement of public policies for the question of accessibility and autonomy of these subjects.(AU)


Asunto(s)
Humanos , Calidad de Vida , Traumatismos de la Médula Espinal , Personas con Discapacidad , Política Pública , Autonomía Personal
2.
Barbarói ; (58): 95-121, jan.-jun. 2021.
Artículo en Portugués | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1150759

RESUMEN

Objetivo: analisar na literatura científica global o tema protagonismo do usuário no serviço de saúde mental. Método: revisão integrativa da literatura, a partir de artigos em português, inglês e francês nas bases de dados da Biblioteca Virtual em Saúde, CINAHL, SCOPUS e PubMed com palavras-chave e MESH, sem determinação temporal. Elegeram-se 21 artigos pelo fluxograma de seleção no período de agosto de 2017 a abril 2020. Resultados: o protagonismo na área da saúde mental é descrito como uma prática transformadora e humanitária pautada nas necessidades do usuário, os artigos nacionais e internacionais trouxeram concepções e ações sobre o protagonismo. Conclusão: o Modelo da Maré, as oficinas terapêuticas, o Projeto Terapêutico Singular, o Psicodrama e o teatro são ferramentas que se apresentam essenciais para o protagonismo do usuário na assistência em saúde mental, pois demarcam tecnologias e dispositivos de produção que permeiam a autonomia, a valorização e subjetividade da pessoa assistida.(AU)


Objetivo: analizar en la literatura científica global el tema del protagonismo del usuario en el servicio de salud mental. Método: revisión bibliográfica integradora, basada en artículos en portugués, inglés y francés en las bases de datos de la Biblioteca Virtual en Salud, CINAHL, SCOPUS y PubMed con palabras clave y MESH, sin determinación temporal. El diagrama de flujo de selección eligió 21 artículos de agosto de 2017 a abril de 2020. Resultados: el protagonismo en el área de salud mental se describe como una práctica transformadora y humanitaria basada en las necesidades del usuario, los artículos nacionales e internacionales aportaron conceptos y acciones sobre protagonismo. Conclusión: el Modelo Maré, los talleres terapéuticos, el Proyecto Terapéutico Singular, el Psicodrama y el teatro son herramientas esenciales para el papel del usuario en la atención de la salud mental, ya que delimitan tecnologías y dispositivos de producción que impregnan la autonomía. La valoración y subjetividad de la persona asistida.(AU)


Objective: to analyze in the global scientific literature the theme of user leadership in the mental health service. Method: integrative literature review, based on articles in Portuguese, English and French in the databases of the Virtual Health Library, CINAHL, SCOPUS and PubMed with keywords and MESH, without temporal determination. 21 articles were chosen by the selection flowchart from August 2017 to April 2020. Results: the leadership in the mental health area is described as a transformative and humanitarian practice based on the needs of the user, national and international articles brought concepts and actions on leadership. Conclusion: the Tidal Model, the therapeutic workshops, the Singular Therapeutic Project, Psychodrama and the theater are tools that are essential for the role of the user in mental health care, as they demarcate technologies and production devices that permeate autonomy, the valuation and subjectivity of the assisted person.(AU)


Asunto(s)
Humanos , Pacientes , Salud Mental , Autonomía Personal , Atención a la Salud Mental , Servicios de Salud Mental
3.
Artículo en Inglés | MEDLINE | ID: mdl-33801822

RESUMEN

In the Republic of Ireland (RoI), COVID-19 public health guidelines have been most restrictive for people aged 70 and over. Such individuals are most likely to avail of befriending services offered by a network of Irish organisations. The aim of this study was to explore the impact of COVID-19 guidelines on befriending service users, and to develop recommended adaptations to befriending services compatible with such guidelines. A qualitative constructivist grounded theory approach was taken to the study design and analysis, using semi-structured interviews to collect data from 11 participants by telephone between May 2020 and January 2021. Results show a grounded theory describing how older users of a befriending service maintained their personal autonomy in the face of strict government guidelines. Participants described living life as usual, often contravening guidelines, and how they chose to adapt to the situation, yielding both positive and negative outcomes. Some potential adaptations were discussed to the befriending service (including a preserved focus on the social and emotional functions of the befriending relationship, and the accommodation of collaborative decision making about communicative alternatives), but ultimately it was made clear that participants would tailor the services to their own preferences. Results have implications for befriending service design and delivery, and for public health officials who wish to support the health of older adults during the COVID-19 pandemic.


Asunto(s)
Pandemias , Anciano , Anciano de 80 o más Años , Humanos , Irlanda , Autonomía Personal
4.
Invest Educ Enferm ; 39(1)2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33687813

RESUMEN

OBJECTIVES: To understand changes in daily life emerging from the COVID-19 Pandemic in people with visual impairment from four cities of Colombia. METHODS: Exploratory-type, descriptive qualitative study. The study conducted 26 semi-structured interviews via telephone. The analysis process used the methodological design from the approach proposed by Taylor and Bogdan: following the discovery process, coding and relativizing of data. RESULTS: Three categories emerge: 1) Transformations in daily dynamics, 2) Barriers to mobility, and 3) Use of technology. CONCLUSIONS: People with visual impairment report barriers to mobility to take public transportation, which can affect maintenance of their autonomy and independence. Using technological tools is identified as facilitators for the continuity of educational and work activities; however, some did not have computer literacy or the basic inputs for connectivity. Difficulties were identified to continue work activities and maintain income.


Asunto(s)
Limitación de la Movilidad , Autonomía Personal , Trastornos de la Visión/epidemiología , Adulto , Anciano , Colombia , Alfabetización Digital , Femenino , Humanos , Internet , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Adulto Joven
5.
Medicine (Baltimore) ; 100(11): e24836, 2021 Mar 19.
Artículo en Inglés | MEDLINE | ID: mdl-33725954

RESUMEN

ABSTRACT: Anesthesiologists and surgeons have demonstrated a lack of familiarity with professional guidelines when providing care for surgical patients with a do-not-resuscitate (DNR) order. This substantially infringes on patient's self-autonomy; therefore, leading to substandard care particularly for palliative surgical procedures. The interventional nature of surgical procedures may create a different mentality of surgical "buy-in," that may unintentionally prioritize survivability over maintaining patient self-autonomy. While previous literature has demonstrated gains in communication skills with simulation training, no specific educational curriculum has been proposed to specifically address perioperative code status discussions. We designed a simulated standardized patient actor (SPA) encounter at the beginning of post-graduate year (PGY) 2, corresponding to the initiation of anesthesiology specific training, allowing residents to focus on the perioperative discussion in relation to the SPA's DNR order.Forty four anesthesiology residents volunteered to participate in the study. PGY-2 group (n = 17) completed an immediate post-intervention assessment, while PGY-3 group (n = 13) completed the assessment approximately 1 year after the educational initiative to ascertain retention. PGY-4 residents (n = 14) did not undergo any specific educational intervention on the topic, but were given the same assessment. The assessment consisted of an anonymized survey that examined familiarity with professional guidelines and hospital policies in relation to perioperative DNR orders. Subsequently, survey responses were compared between classes.Study participants that had not participated in the educational intervention reported a lack of prior formalized instruction on caring for intraoperative DNR patients. Second and third year residents outperformed senior residents in being aware of the professional guidelines that detail perioperative code status decision-making (47%, 62% vs 21%, P = .004). PGY-3 residents outperformed PGY-4 residents in correctly identifying a commonly held misconception that institutional policies allow for automatic perioperative DNR suspensions (85% vs 43%; P = .02). Residents from the PGY-3 class, who were 1 year removed the educational intervention while gaining 1 additional year of clinical anesthesiology training, consistently outperformed more senior residents who never received the intervention.Our training model for code-status training with anesthesiology residents showed significant gains. The best results were achieved when combining clinical experience with focused educational training.


Asunto(s)
Competencia Clínica/estadística & datos numéricos , Atención Perioperativa/psicología , Medicina Perioperatoria/educación , Órdenes de Resucitación/psicología , Estudiantes de Medicina/psicología , Adulto , Anestesiología/educación , Femenino , Adhesión a Directriz/estadística & datos numéricos , Humanos , Internado y Residencia/estadística & datos numéricos , Conocimiento , Masculino , Simulación de Paciente , Autonomía Personal , Aprendizaje Basado en Problemas , Encuestas y Cuestionarios
6.
J Int Bioethique Ethique Sci ; 31(4): 41-55, 2021 02.
Artículo en Francés | MEDLINE | ID: mdl-33728877

RESUMEN

This contribution analyses the way in which the European and Inter-American Courts of Human Rights handle the concept of Human Dignity in cases that present bioethical stakes. As they do not comprehend it in the same way – ‘Dignity-Freedom’ on the one hand, ‘Dignity-Equality’ on the other – it implies differences of solutions in areas such as the definition of the human person, the right to personal autonomy, the right to health or even the right to a healthy environment. This comparative analysis also allows us to grasp better the limits that a too liberal reading of human rights can represent and to propose some means of improvement. That would involve a review of the equal dignity of human beings by the European Court, thanks to different tools that can be put into action without the Court’s being forced to reconsider the theoretical basis on which its whole system is founded.


Asunto(s)
Discusiones Bioéticas/legislación & jurisprudencia , Bioética , Libertad , Derechos Humanos/legislación & jurisprudencia , Respeto , Humanos , Autonomía Personal , Estados Unidos
7.
PLoS One ; 16(3): e0249098, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33770110

RESUMEN

BACKGROUND: Nursing homes (NH) for the elderly have been particularly affected by the Covid-19 pandemic mainly due to their hosted vulnerable populations and poor outbreak preparedness. In Belgium, the medical humanitarian organization Médecins Sans Frontières (MSF) implemented a support project for NH including training on infection prevention and control (IPC), (re)-organization of care, and psychosocial support for NH staff. As psychosocial and mental health needs of NH residents in times of Covid-19 are poorly understood and addressed, this study aimed to better understand these needs and how staff could respond accordingly. METHODS: A qualitative study adopting thematic content analysis. Eight focus group discussions with direct caring staff and 56 in-depth interviews with residents were conducted in eight purposively and conveniently selected NHs in Brussels, Belgium, June 2020. RESULTS: NH residents experienced losses of freedom, social life, autonomy, and recreational activities that deprived them of their basic psychological needs. This had a massive impact on their mental well-being expressed in feeling depressed, anxious, and frustrated as well as decreased meaning and quality of life. Staff felt unprepared for the challenges posed by the pandemic; lacking guidelines, personal protective equipment and clarity around organization of care. They were confronted with professional and ethical dilemmas, feeling 'trapped' between IPC and the residents' wellbeing. They witnessed the detrimental effects of the measures imposed on their residents. CONCLUSION: This study revealed the insights of residents' and NH staff at the height of the early Covid-19 pandemic. Clearer outbreak plans, including psychosocial support, could have prevented the aggravated mental health conditions of both residents and staff. A holistic approach is needed in NHs in which tailor-made essential restrictive IPC measures are combined with psychosocial support measures to reduce the impact on residents' mental health impact and to enhance their quality of life.


Asunto(s)
/patología , Personal de Enfermería/psicología , Calidad de Vida , Poblaciones Vulnerables/psicología , Anciano , Anciano de 80 o más Años , Ansiedad/etiología , Depresión/etiología , Femenino , Grupos Focales , Humanos , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Casas de Salud , Autonomía Personal , Equipos de Seguridad/provisión & distribución , Cuarentena
8.
Med Klin Intensivmed Notfmed ; 116(3): 205-209, 2021 Apr.
Artículo en Alemán | MEDLINE | ID: mdl-33660019

RESUMEN

Coercive treatment in medicine includes measures taken against a current or previous expression of the will of the person concerned. It can include overcoming manifested resistance, especially in patients who no longer have the capacity to consent. Even though coercive measurements are common in psychiatry, they are also used in intensive care units (ICU). Use of coercive measurements in the ICU has always been a conflict between providing best medical care and restriction of free will/patient will. Medical staff is generally only partially aware of the moral conflict of these measures. However, patients have described coercion as an active loss of free will which they experience to be dehumanizing, stressful and traumatizing. The challenge in the ICU is to focus on the individual needs of the patients and involve them as much as possible while providing high-quality, highly specialized medical care. In order to avoid coersion in the ICU and to do justice to the individual patient, the focus must shift to building awareness. Models that have been shown to improve awareness such as the ethical reflection within the team, supervision and psychological support for patients and internal hospital standards have also been shown to reduce coercive measurements taken. The aim of this paper is to describe causes, different methods and frequencies of coercive measures used in the ICU. Legal aspects are also taken into account. This paper attempts to identify which procedures undertaken in the ICU can be associated with coercive measurements and how coercion is experienced by patients and the team.


Asunto(s)
Coerción , Psiquiatría , Humanos , Unidades de Cuidados Intensivos , Autonomía Personal
10.
Curr Pharm Teach Learn ; 13(3): 193-197, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33641726

RESUMEN

INTRODUCTION: Maintaining self-motivation during challenging times can be difficult. In this commentary, we consider self-determination theory to explore factors that can influence intrinsic motivation to progress scholarly work. The place of extrinsic motivation is also considered, on the continuum of self-determination. COMMENTARY: Using the components of self-determination theory, autonomy, mastery, and connection; academics, clinicians, and students, working in different environments, were asked to provide personal experiences and perspectives on their ability to maintain motivation during the 2019 coronavirus disease (COVID-19) pandemic. Self-assessment questions were used to guide reflections. IMPLICATIONS: Motivation, and in particular intrinsic motivation, can be impacted negatively during challenging times. Using a motivation framework can help identify personal factors that can be strengthened and developed over time. It is recognised that extrinsic factors are important in maintaining motivation. However, intrinsic motivation is a powerful driver to sustain and progress high quality work. Practical strategies and ideas are described to harness and develop self-motivation to pursue scholarly work, during challenging times.


Asunto(s)
Motivación/fisiología , Pandemias , Estudiantes/psicología , Humanos , Autonomía Personal
12.
Value Health ; 24(2): 281-290, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33518035

RESUMEN

BACKGROUND: There are increasing concerns about the appropriateness of generic preference-based measures to capture health benefits in the area of mental health. OBJECTIVES: The aim of this study is to estimate preference weights for a new measure, Recovering Quality of Life (ReQoL-10), to better capture the benefits of mental healthcare. METHODS: Psychometric analyses of a larger sample of mental health service users (n = 4266) using confirmatory factor analyses and item response theory were used to derive a health state classification system and inform the selection of health states for utility assessment. A valuation survey with members of the UK public representative in terms of age, sex, and region was conducted using face-to-face interviewer administered time-trade-off with props. A series of regression models were fitted to the data and the best performing model selected for the scoring algorithm. RESULTS: The ReQoL-Utility Index (UI) classification system comprises 6 mental health items and 1 physical health item. Sixty-four health states were valued by 305 participants. The preferred model was a random effects model, with significant and consistent coefficients and best model fit. Estimated utilities modeled for all health states ranged from -0.195 (state worse than dead) to 1 (best possible state). CONCLUSIONS: The development of the ReQoL-UI is based on a novel application of item response theory methods for generating the classification system and selecting health states for valuation. Conventional time-trade-off was used to elicit utility values that are modeled to enable the generation of QALYs for use in cost-utility analysis of mental health interventions.


Asunto(s)
Análisis Costo-Beneficio/métodos , Salud Mental/economía , Calidad de Vida/psicología , Encuestas y Cuestionarios/normas , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Estado de Salud , Esperanza , Humanos , Relaciones Interpersonales , Actividades Recreativas , Masculino , Persona de Mediana Edad , Autonomía Personal , Psicometría , Factores Socioeconómicos , Adulto Joven
13.
J Psychol ; 155(2): 186-209, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33539270

RESUMEN

Living and acting in line with one's implicit motives fosters peoples' well-being across a wide array of cultural contexts. Yet, not all individuals commit to goals that reflect their implicit motives. Research points to resources that relate to congruence of implicit and explicit motives. We hypothesized that such resources also relate to motive-congruent identity development. In detail, we assumed that perceived parenting quality (Study 1) and sense of self-determination (Study 2) moderate the relationship between the implicit need for affiliation and dimensions of identity development in the interpersonal domain of friendship. Evidence supporting our assumptions was found in both studies: Among adolescents who reported low levels of parenting quality higher levels of the implicit affiliation motive were associated with lower levels of commitment and higher levels of reconsideration of commitment (Study 1). Moreover, a positive association between the implicit affiliation motive and commitment was verified for adolescents who were high in self-determination (Study 2). Less straightforward findings on in-depth exploration point to the Janus-faced nature of exploration processes. To conclude, the implicit need for affiliation seems to play a crucial role in interpersonal identity development if particular social and personal resources are available. Implications for future research are discussed.


Asunto(s)
Motivación , Responsabilidad Parental , Autonomía Personal , Identificación Social , Adolescente , Humanos , Responsabilidad Parental/psicología
15.
Psicothema (Oviedo) ; 33(1): 28-35, feb. 2021.
Artículo en Inglés | IBECS | ID: ibc-199550

RESUMEN

BACKGROUND: A new paradigm, which we refer to as The Quality of Life Supports Paradigm, is emerging internationally in the field of intellectual and developmental disabilities. The new paradigm integrates the key concepts of 'quality of life' and 'supports'. This article addresses the question of how one evaluates a new paradigm. METHOD: This is a conceptual work that describes five characteristics of a paradigm. The characteristics are based on the groundbreaking work of relevant authors in the field of intellectual and developmental disabilities, quality of life, supports, and evaluation. RESULTS: The five characteristics are that a paradigm is theory driven, ethical, flexible, adaptable, and measurable. The article especially delves into the fifth characteristic and provides specific examples of how to evaluate the new paradigm. CONCLUSIONS: The new paradigm encompasses core values, accommodates contextual factors, and can be used for multiple purposes to positively impact the development and implementation of value-based policies and practices that enhance the quality of life and personal well-being of people with intellectual and developmental disabilities


ANTECEDENTES: en el ámbito internacional de las discapacidades intelectuales y del desarrollo está surgiendo un nuevo paradigma, el Paradigma de Calidad de Vida-Apoyos, que integra los conceptos clave "calidad de vida" y "apoyos". Este artículo aborda la cuestión de cómo se evalúa un nuevo paradigma como este. MÉTODO: este es un trabajo conceptual que describe cinco características de un paradigma. Estas características están basadas en el trabajo innovador de autores relevante en el ámbito de las discapacidades intelectuales y del desarrollo, la calidad de vida, los apoyos y la evaluación. RESULTADOS: las cinco características de un paradigma son que este es impulsado por la teoría, ético, flexible, adaptable y medible. En el artículo se profundiza especialmente en la quinta característica y se proporcionan ejemplos específicos sobre cómo evaluar el nuevo paradigma. CONCLUSIONES: el nuevo paradigma abarca valores fundamentales, incorpora factores contextuales y se puede utilizar para múltiples propósitos para favorecer el desarrollo y la implementación de políticas y prácticas basadas en valores que mejoran la calidad de vida y el bienestar personal de las personas con discapacidades intelectuales y del desarrollo


Asunto(s)
Humanos , Discapacidad Intelectual , Discapacidades del Desarrollo , Autonomía Personal , Calidad de Vida/psicología , Teoría Psicológica , Calidad de Vida , Personas con Discapacidad Mental/psicología , Adaptación Psicológica , Apoyo Social
16.
Obes Res Clin Pract ; 15(1): 85-88, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33388254

RESUMEN

The clash of the dual pandemics - COVID-19 and obesity (Chua et al., 2020) [1], threatens to exponentially increase the rates of obesity, which is a risk factor for severe COVID-19 and death (Garg et al., 2020; Peng et al., 2020; Wu et al., 2020; Kass et al., 2020) [2-5]. We need to urgently find solutions to halt this vicious circle. Where do we begin? Our patients - who are often our best teachers. In my clinical practice, I have observed disparate responses among my patients in response to the pandemic. This highlighted the importance of understanding the factors underlying motivation and provided important clues on what clinicians can do to help our patients create a virtuous circle towards positive health outcomes.


Asunto(s)
Conductas Relacionadas con la Salud , Motivación , Entrevista Motivacional , Obesidad/prevención & control , Pandemias , Atención al Paciente , Peso Corporal , /psicología , Manejo de la Enfermedad , Humanos , Estilo de Vida , Atención Plena , Obesidad/complicaciones , Obesidad/psicología , Autonomía Personal , Factores de Riesgo , Autocuidado , Medio Social , Estrés Psicológico
17.
Bull Cancer ; 108(2): 151-158, 2021 Feb.
Artículo en Francés | MEDLINE | ID: mdl-33446332

RESUMEN

In recent decades, follow-up of cancer survivors has taken on its full meaning with the gradual improvement in the survival of children and adolescents with cancer. This follow-up is associated specially for adolescents with a multitude of transitions: the transition from therapeutic management to the monitoring for possible relapse, the transition into long-term follow-up after childhood cancer, the transition from a pediatric system to an adult care system. If this transition can be perceived as difficult by patients, it gives young people the opportunity to access more autonomous follow-up and support in becoming an adult. Supporting the transition should make caregivers attentive to this time of consolidation of adolescence, favorable to the emergence of a sense of stable, mature identity that guarantees a certain autonomy. This is a key to a successful transition limiting breakdown of care and promoting "the work of the disease". The double contribution of adult and pediatric oncology provides support tailored to these psychic and societal issues. AYA teams can actively participate in this process by facilitating the acculturation of pediatric and adult care teams to the specificity of this group, thus allowing a continuum of care.


Asunto(s)
Supervivientes de Cáncer , Autonomía Personal , Transición a la Atención de Adultos , Adolescente , Adulto , Supervivientes de Cáncer/psicología , Humanos , Recurrencia Local de Neoplasia , Factores de Tiempo , Cuidado de Transición , Adulto Joven
19.
Obstet Gynecol ; 137(2): 234-239, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33416289

RESUMEN

Over the past decade, increasing attention has been paid to intervening in individuals' health in the "preconception" period as an approach to optimizing pregnancy outcomes. Increasing attention to the structural and social determinants of health and to the need to prioritize reproductive autonomy has underscored the need to evolve the preconception health framework to center race equity and to engage with the historical and social context in which reproduction and reproductive health care occur. In this commentary, we describe the results of a meeting with a multidisciplinary group of maternal and child health experts, reproductive health researchers and practitioners, and Reproductive Justice leaders to define a new approach for clinical and public health systems to engage with the health of nonpregnant people. We describe a novel "Reproductive and Sexual Health Equity" framework, defined as an approach to comprehensively meet people's reproductive and sexual health needs, with explicit attention to structural influences on health and health care and grounded in a desire to achieve the highest level of health for all people and address inequities in health outcomes. Principles of the framework include centering the needs of and redistributing power to communities, having clinical and public health systems acknowledge historical and ongoing harms related to reproductive and sexual health, and addressing root causes of inequities. We conclude with a call to action for a multisectoral effort centered in equity to advance reproductive and sexual health across the reproductive life course.


Asunto(s)
Equidad en Salud , Atención Preconceptiva , Salud Reproductiva , Salud Sexual , Justicia Social , Humanos , Autonomía Personal
20.
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