Health policy narratives contributing to health inequities experienced by people with intellectual/developmental disabilities: New evidence from COVID-19

Q1 Arts and Humanities Clinical Ethics Pub Date : 2023-09-12 DOI:10.1177/14777509231196704
Sandra Marquis, Renee O'Leary, Nilanga Aki Bandara, Jennifer Baumbusch
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Abstract

This paper discusses three cultural narratives that threaten the health of people with intellectual/developmental disabilities (IDD) and which have become more evident during the COVID-19 pandemic. These meta-narratives are the medical model of health/disability; the population health approach to health inequalities; and policies premised on the assumption of the importance of national economic growth as an incentive for reducing health inequalities. Evidence exists that health research is more likely to become policy if it fits within a medical model and addresses national economic growth. These two criteria are particularly problematic for people who have IDD. The paper also proposes a research model to facilitate the inclusion of IDD related issues in future policy regarding health inequalities.
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卫生政策叙述助长了智力/发育障碍者所经历的卫生不平等:来自COVID-19的新证据
本文讨论了威胁智力/发育障碍(IDD)患者健康的三种文化叙事,这些叙事在COVID-19大流行期间变得更加明显。这些元叙述是健康/残疾的医学模式;解决保健不平等问题的人口保健办法;政策的前提假设是国家经济增长的重要性是减少健康不平等的激励因素。有证据表明,如果健康研究符合医学模式并解决国家经济增长问题,那么它更有可能成为政策。这两个标准对缺乏症患者来说尤其成问题。本文还提出了一个研究模型,以促进将缺碘症相关问题纳入未来关于保健不平等的政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Ethics
Clinical Ethics Arts and Humanities-Philosophy
CiteScore
1.30
自引率
0.00%
发文量
42
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