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.
Highlights
The COVID-19 pandemic provides the opportunity to re-think health policies and health systems approaches by the adoption of a biopsychosocial perspective, acting on environmental factors so as to increase facilitators and diminish barriers
“The term emergence indicates both the manifestation of something already existing, but not yet put in the foreground, and the appearing of the unexpected, the uncalculated, the unknown, and the new” as the Italian philosopher Adriano Pessina writes “The SARS-CoV-2 (COVID-19) pandemic of today” he continues “is an emergency that fulfils both meanings: for a long time, scientists predicted an epidemic, but this coronavirus is dramatically new and difficult to contrast with past experiences
Health care and public health, as well as health promotion and diseases prevention, have imperatives that may conflict with economic priorities and countries’ reality
Summary
The COVID-19 pandemic provides the opportunity to re-think health policies and health systems approaches by the adoption of a biopsychosocial perspective, acting on environmental factors so as to increase facilitators and diminish barriers. “The term emergence indicates both the manifestation of something already existing, but not yet put in the foreground, and the appearing of the unexpected, the uncalculated, the unknown, and the new” as the Italian philosopher Adriano Pessina writes “The SARS-CoV-2 (COVID-19) pandemic of today” he continues “is an emergency that fulfils both meanings: for a long time, scientists predicted an epidemic, but this coronavirus is dramatically new and difficult to contrast with past experiences.
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