应对 Covid-19 大流行病的政策:部落决策者的经验教训

J.A. Pacheco, W.S. Choi, C.M. Daley
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引用次数: 0

摘要

背景科维德-19 大流行病给联邦政策制定者带来了许多挑战。然而,美国印第安部落的决策者也不得不依靠他们与美国的条约关系,制定政策来保护他们的主权国家。在本研究中,我们采用现象学方法采访了部落政策制定者,以研究部落为应对 Covid-19 大流行病而制定的政策和采取的政府行动。讨论这些访谈代表了五个文化区的 10 个部落。共确定了 10 个主题,其中 4 个与大流行开始时需要解决的问题有关,6 个与 Covid-19 政策的制定和实施有关。本研究的结果旨在描述一些部落如何在其基础设施内运作,以确保其成员的安全。本研究有助于生成以证据为基础的信息,从而影响有关未来疫情爆发和流行病的政策制定。
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Policies to address the Covid-19 pandemic: Lessons learned from tribal policymakers

Background

The Covid-19 pandemic created many challenges for federal policymakers. However, American Indian tribal policymakers also had to rely on their treaty relationship the United States and set policies to protect their sovereign nations. The Covid-19 pandemic was devastating to tribal communities and amplified many inequalities these communities already face.

Methodology

In this study, we interviewed tribal policymakers using a phenomenological approach to examine tribal Covid-19 policies enacted and the governmental actions taken in response to the pandemic. Using a purposive sampling method, 11 interviews were included in the analysis.

Discussion

These interviews represented 10 tribes across five culture areas. Ten themes were identified, including four related to issues to be addressed at the start of the pandemic and six associated with Covid-19 policy development and implementation. The findings from this study are intended to describe the ways in which some tribes operated within their infrastructures to keep their members safe.

Conclusion

The Covid-19 virus had a devastating impact on American Indian communities. This study can aid in the generation of evidence-based information that can influence the development of policies regarding future outbreaks and pandemics.

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来源期刊
Ethics, Medicine and Public Health
Ethics, Medicine and Public Health Medicine-Health Policy
CiteScore
2.20
自引率
0.00%
发文量
107
审稿时长
42 days
期刊介绍: This review aims to compare approaches to medical ethics and bioethics in two forms, Anglo-Saxon (Ethics, Medicine and Public Health) and French (Ethique, Médecine et Politiques Publiques). Thus, in their native languages, the authors will present research on the legitimacy of the practice and appreciation of the consequences of acts towards patients as compared to the limits acceptable by the community, as illustrated by the democratic debate.
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