Structural vulnerability: operationalizing the concept to address health disparities in clinical care

P Bourgois, SM Holmes, K Sue, J Quesada - Academic Medicine, 2017 - journals.lww.com
The authors propose reinvigorating and extending the traditional social history beyond its
narrow range of risk behaviors to enable clinicians to address negative health outcomes …

Structural competency: curriculum for medical students, residents, and interprofessional teams on the structural factors that produce health disparities

J Neff, SM Holmes, KR Knight, S Strong… - …, 2020 - mededportal.org
Introduction Research on disparities in health and health care has demonstrated that social,
economic, and political factors are key drivers of poor health outcomes. Yet the role of such …

Reconsidering systems-based practice: advancing structural competency, health equity, and social responsibility in graduate medical education

EG Castillo, J Isom, KL DeBonis, A Jordan… - Academic …, 2020 - journals.lww.com
Health inequities stem from systematic, pervasive social and structural forces. These forces
marginalize populations and create the circumstances that disadvantage these groups, as …

Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health—An integrative review

FO Baah, AM Teitelman, B Riegel - Nursing inquiry, 2019 - Wiley Online Library
Scientific advances in health care have been disproportionately distributed across social
strata. Disease burden is also disproportionately distributed, with marginalized groups …

[HTML][HTML] Integrating and assessing structural competency in an innovative prehealth curriculum at Vanderbilt University

JM Metzl, JL Petty - Academic Medicine, 2017 - journals.lww.com
Problem Structural competency is a framework for conceptualizing and addressing health-
related social justice issues that emphasizes diagnostic recognition of economic and …

New medicine for the US health care system: training physicians for structural interventions

H Hansen, JM Metzl - Academic Medicine, 2017 - journals.lww.com
Structural competency provides a language and theoretical framework to promote
institutional-level interventions by clinical practitioners working with community …

Responding to the COVID-19 pandemic: the need for a structurally competent health care system

JM Metzl, A Maybank, F De Maio - Jama, 2020 - jamanetwork.com
The coronavirus disease 2019 (COVID-19) pandemic has exposed the consequences of
inequality in the US. Even though all US residents are likely equally susceptible to infection …

[图书][B] Structural competency in mental health and medicine: A case-based approach to treating the social determinants of health

H Hansen, JM Metzl - 2019 - books.google.com
This book documents the ways that clinical practitioners and trainees have used the
“structural competency” framework to reduce inequalities in health. The essays describe on …

[HTML][HTML] Structural competency: theorizing a new medical engagement with stigma and inequality

JM Metzl, H Hansen - Social science & medicine, 2014 - Elsevier
This paper describes a shift in medical education away from pedagogic approaches to
stigma and inequalities that emphasize cross-cultural understandings of individual patients …

Structural competency in the US healthcare crisis: putting social and policy interventions into clinical practice

H Hansen, J Metzl - Journal of bioethical inquiry, 2016 - Springer
This symposium of the Journal of Bioethical Inquiry illustrates structural competency: how
clinical practitioners can intervene on social and institutional determinants of health. It will …