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Leonardi M, Lee H, van der Veen S, Maribo T, Cuenot M, Simon L, Paltamaa J, Maart S, Tucker C, Besstrashnova Y, Shosmin A, Cid D, Almborg AH, Anttila H, Yamada S, Frattura L, Zavaroni C, Zhuoying Q, Martinuzzi A, Martinuzzi M, Magnani FG, Snyman S, El Oumri AA, Sylvain N, Layton N, Sykes C, Saleeby PW, Winkler AS, de Camargo OK. Avoiding the Banality of Evil in Times of COVID-19: Thinking Differently with a Biopsychosocial Perspective for Future Health and Social Policies Development. ACTA ACUST UNITED AC 2020; 2:1758-1760. [PMID: 32905109 PMCID: PMC7462656 DOI: 10.1007/s42399-020-00486-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/24/2020] [Indexed: 11/01/2022]
Abstract
The COVID-19 pandemic provides the opportunity to re-think health policies and health systems approaches by the adoption of a biopsychosocial perspective, thus acting on environmental factors so as to increase facilitators and diminish barriers. Specifically, vulnerable people should not face discrimination because of their vulnerability in the allocation of care or life-sustaining treatments. Adoption of biopsychosocial model helps to identify key elements where to act to diminish effects of the pandemics. The pandemic showed us that barriers in health care organization affect mostly those that are vulnerable and can suffer discrimination not because of severity of diseases but just because of their vulnerability, be this age or disability and this can be avoided by biopsychosocial planning in health and social policies. It is possible to avoid the banality of evil, intended as lack of thinking on what we do when we do, by using the emergence of the emergency of COVID-19 as a Trojan horse to achieve some of the sustainable development goals such as universal health coverage and equity in access, thus acting on environmental factors is the key for global health improvement.
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Affiliation(s)
- Matilde Leonardi
- UOC Neurology, Public Health, Disability, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133 Milan, Italy.,Università Cattolica del Sacro Cuore, Milan, Italy
| | | | - Sabina van der Veen
- Department of Ethics, Law and Humanities, Amsterdam UMC, VU University Amsterdam, Amsterdam, The Netherlands
| | - Thomas Maribo
- Department of Public Health, Aarhus University, Aarhus, Denmark.,DEFACTUM, Central Denmark Region, Aarhus, Denmark
| | - Marie Cuenot
- School of public Health, École des hautes études en santé publique (EHESP), Rennes, France
| | - Liane Simon
- MSH Medical School Hamburg, Hamburg, Germany
| | | | - Soraya Maart
- Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Carole Tucker
- College of Public Health, Temple University, Philadelphia, PA USA
| | - Yanina Besstrashnova
- Albrecht Federal Scientific Centre of Rehabilitation of the Disabled, St. Petersburg, Russia
| | - Alexander Shosmin
- Albrecht Federal Scientific Centre of Rehabilitation of the Disabled, St. Petersburg, Russia
| | - Daniel Cid
- Centre for Innovations and Development in Healthcare (CIDEAS), Santiago del Chile, Chile
| | | | - Heidi Anttila
- Finnish Institute for Health and Welfare (THL), Helsinki, Finland
| | - Shin Yamada
- Department of Rehabilitation Medicine, Kyorin University School of Medicine, Tokyo, Japan
| | - Lucilla Frattura
- Strategical Directorate, Classification Area, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy
| | - Carlo Zavaroni
- Strategical Directorate, Classification Area, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy
| | - Qiu Zhuoying
- Research Institute of Rehabilitation Information, China Rehabilitation Research Center/WHO-FIC CC China, Beijing, China
| | - Andrea Martinuzzi
- Department of Conegliano-Pieve di Soligo, IRCCS E. Medea Scientific Institute, Conegliano, Italy
| | | | - Francesca Giulia Magnani
- UOC Neurology, Public Health, Disability, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133 Milan, Italy
| | - Stefanus Snyman
- Centre for Community Technologies, Nelson Mandela University, Port Elizabeth, South Africa
| | - Ahmed Amine El Oumri
- Mohammed VI University Hospital of Oujda, Faculty of Medicine of Oujda, Mohammed First University of Oujda, Oujda, Morocco
| | | | - Natasha Layton
- Rehabilitation, Ageing and Independent Living Research Centre, Monash University, Frankston, Victoria Australia
| | | | - Patricia Welch Saleeby
- Department of Sociology, Criminology, and Social Work, Bradley University, Peoria, IL USA
| | - Andrea Sylvia Winkler
- Center for Global Health, Department of Neurology, Technical University of Munich, Munich, Germany.,Centre for Global Health, Institute of Health and Society, University of Oslo, Oslo, Norway
| | - Olaf Kraus de Camargo
- CanChild - Centre for Childhood Disability Research, McMaster University, Hamilton, Ontario Canada
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