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Prog Cardiovasc Dis ; 2022 Apr 29.
Artículo en Inglés | MEDLINE | ID: mdl-35490868


The prevalence of unhealthy living behaviors is largely driven by environments that support them and has become a key concern at global, national, and individual (patient) levels. Healthy Living Medicine offers a compelling path forward to move people towards healthy living behaviors and better health outcomes when complemented by socially just and equitable public campaigns and initiatives. Some of the concepts that are critical for these campaigns and initiatives that will be discussed in this manuscript include the social determinants of health, the communication loop, health literacy, and implicit bias and discrimination. Considering what is practical and achievable, examples of actionable, socially-just strategies will be described to inform and encourage health professionals and other stakeholders to prioritize healthy living and reverse the poor health trajectory among our most vulnerable populations.

Harm Reduct J ; 19(1): 42, 2022 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-35501857


To offer a critical reflection on an impoverished neighborhood in Vancouver, Canada, and their access to oral health care. A review of how a lack of publicly funded oral health care affects the most vulnerable, uninsured, and underserved citizens is performed. Personal and professional accounts on how entrepreneurial innovations of not-for-profit organizations can help to close the gap in access to oral health care are offered using the Vancouver Area Network of drug users (VANDU) and the PHS Community Services Society as case studies in British Columbia. Despite the efforts put forward by not-for-profit organizations such as the VANDU and the PHS Community Services Society, a national oral health care plan is warranted though still not a political imperative. Underserved citizens have a right to oral health care that is compassionate, collaborative, accessible, and affordable.

Participación de la Comunidad , Consumidores de Drogas , Colombia Británica , Derechos Humanos , Humanos
Acad Med ; 2022 May 03.
Artículo en Inglés | MEDLINE | ID: mdl-35476779


PURPOSE: The education of health care professionals is a contributing factor to persistent health disparities. Although medical students are expected to understand racism, classism, and other social and structural drivers of health (SDH), standardization and best practices for teaching these concepts are lacking. Some medical schools are adopting social justice curricula (SJC) that prioritize health equity in teaching students to recognize SDH and preparing them to address the consequent health disparities. This systematic review sought to evaluate how these schools have integrated SJC into their core teaching; the criteria they have used to measure success and to what extent these criteria are met; and best practices in planning, implementing, and evaluating SJC. METHOD: The authors searched 7 databases for English-language studies published between January 2000 and April 2020, reporting on longitudinally integrated SJC at U.S. medical schools intended for all students. Quantitative and qualitative outcomes were synthesized and summarized. RESULTS: Searches identified 3,137 articles, of which 11 met inclusion criteria. Results demonstrated schools use a variety of teaching methods over a wide range of didactic hours to teach SJC concepts. Surveys and objective tests indicated students in SJC are generally satisfied and demonstrated improved knowledge and skills related to understanding and mitigating SDH, although findings related to changes in attitudes were equivocal. Evaluations at graduation and in residency demonstrated students who experience SJC are more prepared than their peers to work with patients who are underserved. Best practices in SJC included addressing the hidden curriculum, considering medical mistrust, and using tools like the Racial Justice Report Card and Tool for Assessing Cultural Competence Training. CONCLUSIONS: These findings indicated SJC can prepare students to better address the root causes of health disparities. Future research should consider the long-term influences of these curricula on students, patients, and the community.

Violence Against Women ; 28(8): 1773-1787, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-35475712


Punitive drug laws have had a differentiated and violent impact on women. State-driven stigma, criminalization, and abuse act as major barriers between women who use drugs and critical services, driving disproportionate health and safety harms. At the same time, women involved in illegal drug activities suffer the brunt of disproportionate drug laws, which exacerbate poverty and intersecting forms of discrimination, and have increased dramatically the global number of women behind bars. Although UN fora and women's rights organizations have paid little attention to their situation, affected women have mobilized to affirm their rights and vindicate their experiences, including at CSW65. From grassroots campaigns to organizations of formerly incarcerated women or peer-led harm reduction programs, women have stepped in to provide the support that States have failed to deliver. Decriminalization, reforms of draconian drug laws, gender-sensitive harm reduction services, and peer-led initiatives are essential to tackle violence against women.

Violencia , Derechos de la Mujer , Femenino , Reducción del Daño , Humanos , Pobreza , Política Pública , Factores Socioeconómicos
Global Health ; 18(1): 38, 2022 04 02.
Artículo en Inglés | MEDLINE | ID: mdl-35366916


Universal health coverage, as one of the targets of the Sustainable Development Goals, is the access to key promotive, preventive, curative and rehabilitative health interventions for all at an affordable cost. It is a practical expression of the concern for health equity and the right to health, and a goal for all countries. This review is a novel attempt to explore the healthcare provision in the Netherlands as an expression of universal health coverage based on the right to health.The study adopted a narrative review approach using a framework that consists of 10 universal health coverage indicators which are derived from seven human rights principles. The techno-economic approach to healthcare provision by the Dutch state achieves a healthcare system where most of the population is covered for most of the services for most of the costs. The Dutch state complies with its minimum core obligations, while less attention is paid to participatory decision making and non-discrimination principles. However, with the fiscal sustainability of healthcare provision showing erosion, basing healthcare policy on values based on human rights principles might prevent a regressive policy.

Derecho a la Salud , Cobertura Universal del Seguro de Salud , Atención a la Salud , Política de Salud , Humanos , Países Bajos
Australas Psychiatry ; 30(2): 195-199, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35382610


OBJECTIVE: To evaluate the medical assessments of involuntary community patients in a regional mental health service, determine the compliance with requirements under Queensland's Mental Health Act 2016 (the Act) to regularly review orders and assess patients' mental capacity. METHOD: We audited 183 patient records on community treatment authorities (CTAs) to determine whether medical assessments undertaken under the Act included consideration of the person's capacity, and regular reviews by an authorised doctor as required1s205. RESULTS: The audit revealed that 51% of the CTA patients did not comply with legal requirements either to complete a capacity assessment and/or be medically assessed within three months of the last review. CONCLUSIONS: Over 50% of medical assessments did not comply with the legislative requirements to record capacity assessments and review involuntary treatment on at least a three-month basis. However, when the treatment criteria were met, it did not appear to be a basis for CTA revocation. Further research may help determine whether the Mental Health Review Tribunal (Tribunal) could play a greater role in overseeing compliance with the new legislative requirements or if other clinical oversight mechanisms would be appropriate to improve the assessment process.

Servicios de Salud Mental , Salud Mental , Derechos Humanos , Humanos , Queensland
Artículo en Español | PAHO-IRIS | ID: phr-55911


[RESUMEN]. En 2019, la Organización Panamericana de la Salud aprobó una política regional conocida como Plan de acción para el fortalecimiento de los sistemas de información para la salud 2019-2023, cuyo diseño es el objeto de este artículo. El análisis se realiza tanto desde el punto de vista de su elaboración como de la implementación, a la luz de los conceptos teóricos de Harold Lasswell y Charles Lindblom. El siguiente estudio de política se realizó a partir de una reflexión sobre su contexto, orientación hacia problemas, diversidad y multiplicidad de los métodos utilizados. Asimismo, se hizo una reflexión sobre la búsqueda imparcial del interés público, el diseño de políticas prácticas, la satisfacción de las necesidades de los funcionarios públicos y la oferta de recomendaciones. La política puede ser implementada independientemente de la configuración administrativa de los países y territorios o bien del poder político que puedan ejercer otras instituciones. Su diseño está orientado al acceso universal a los servicios de salud para la región de las Américas, teniendo en cuenta la diversidad cultural e idiomática, incluyendo poblaciones indígenas demuestra que se contextualizó para una región con altos índices de inequidades.

[ABSTRACT]. In 2019, the Pan American Health Organization approved a regional policy known as the Plan of Action for Strengthening Information Systems for Health 2019-2023, the design of which is the subject of this article. This analysis was carried out from the point of view of the development of the plan of action, as well as its implementation, in the light of the theoretical concepts of Harold Lasswell and Charles Lindblom. In the study of this policy, consideration was given to context, focus on problems, diversity, and the variety of methods used. The impartial search for the public interest, design of practical policies, needs of public officials, and provision of recommendations are discussed. The policy can be implemented regardless of the administrative configuration of countries and territories, or the political power that other institutions may exercise. Its design is oriented toward universal access to health services in the countries of the Americas, taking into account cultural and linguistic diversity, including indigenous populations, which shows that it was contextualized for a region with high rates of inequities.

[RESUMO]. Em 2019, a Organização Pan-Americana da Saúde aprovou uma política regional conhecida como Plano de Ação para o Fortalecimento dos Sistemas de Informação para a Saúde 2019-2023, cujo design é o tema deste artigo. A análise foi realizada tanto do ponto de vista de sua elaboração quanto de sua implementação, à luz dos conceitos teóricos de Harold Lasswell e Charles Lindblom. O seguinte estudo de política foi realizado a partir de uma reflexão sobre seu contexto, orientação para os problemas, diversidade e multiplicidade dos métodos utilizados. Da mesma forma, foi feita uma reflexão sobre a busca imparcial do interesse público, o design de políticas práticas, a satisfação das necessidades dos funcionários públicos e a oferta de recomendações. A política pode ser implementada independentemente da configuração administrativa dos países e territórios ou do poder político que outras instituições possam exercer. Seu design visa ao acesso universal aos serviços de saúde para a região das Américas, levando em consideração a diversidade cultural e linguística, incluindo populações indígenas, mostrando que foi contextualizado para uma região com altos índices de iniquidade.

Acceso a la Información , Salud Pública , Práctica de Salud Pública , Planificación en Salud , Sistemas de Información , Acceso a la Información , Salud Pública , Práctica de Salud Pública , Planificación en Salud , Sistemas de Información , Acceso a la Información , Salud Pública , Práctica de Salud Pública , Planificación en Salud , Sistemas de Información
Serv. soc. soc ; (143): 121-139, jan.-abr. 2022.
Artículo en Portugués | LILACS-Express | LILACS | ID: biblio-1357435


Resumo: Este ensaio tem como objetivo refletir sobre o direito humano à alimentação adequada, de forma universal e permanente, ante a pobreza e a desigualdade social. Expressa a dificuldade das sociedades para eliminar o espectro da fome. Argumenta-se que o direito humano à alimentação adequada dificilmente será materializado sem a superação da fome, da pobreza e da desigualdade social, fenômenos interdependentes e que se inter-relacionam, inerentes e necessários à sociabilidade capitalista.

Abstract: This essay aims to reflect on the human right to proper food, in an universal and permanent way, in the face of poverty and social inequality. It expresses the difficulty of societies to eliminate the spectrum of starvation. It is argued that the human right to adequate food is unlikely to be materialized without overcoming hunger, poverty and social inequality, interdependent and interrelated phenomena, inherent and necessary to capitalist sociability.

J Child Psychol Psychiatry ; 63(4): 480-483, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35253230


Lansford (2021) has aptly and eloquently reviewed the vast scholarly research on cross-cultural parenting and concludes that similarities in parenting norms and behaviors across cultures reflect universally adaptive behaviors for children's development. Culture-specific differences are due largely to environmental constraints and affordances as well as cultural norms for expected behavior. This is an exemplar review that tells a clear story of what we have learned from the decades of research on this topic and lays the foundation for future scholarship. Specially compelling is Lansford's argument that we need to take stock of what we know and conduct more of this type of research because the majority of what we have now is biased and does not represent the parenting practices of an increasingly diverse population. In this commentary, I provide some context for the value and potential pitfalls of cross-cultural research; discuss the importance of theoretically driven research; discuss the benefits of cross-cultural research; and conclude with some ideas for future investigations.

Comparación Transcultural , Responsabilidad Parental , Adaptación Psicológica , Niño , Crianza del Niño , Humanos , Justicia Social
Human Rights and HealthPAHO/LEG/DH/dhs7/21-0001.
No convencional en Inglés | PAHO-IRIS | ID: phr-55791


This publication is part of the Human Rights and Health Series. In this publication, the main human rights standards regarding environment and climate change and the measures to be adopted from a human rights-based approach are described, in particular, the right to health and other related rights.

Derechos Humanos , Diversidad Cultural , Medio Ambiente y Salud Pública , Aire , Efectos de la Contaminación del Aire , Efectos de la Contaminación del Agua , Agua Potable , Cambio Climático , Desarrollo Sostenible