Structural Competency in the U.S. Healthcare Crisis: Putting Social and Policy Interventions Into Clinical Practice

Helena Hansen, J. Metzl

    Research output: Contribution to journalArticle

    Abstract

    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 require training clinicians to see and act on structural barriers to health, to adapt imaginative structural approaches from fields outside of medicine, and to collaborate with disciplines and institutions outside of medicine. Case studies of effective work on all of these levels are presented in this volume. The contributors exemplify structural competency from many angles, from the implications of epigenetics for environmental intervention in personalized medicine to the ways clinicians can act on fundamental causes of disease, address abuses of power in clinical training, racially desegregate cities to reduce health disparities, address the systemic causes of torture by police, and implement harm-reduction programs for addiction in the face of punitive drug laws. Together, these contributors demonstrate the unique roles that clinicians can play in breaking systemic barriers to health and the benefit to the U.S. healthcare system of adopting innovations from outside of the United States and outside of clinical medicine.

    Original languageEnglish (US)
    Pages (from-to)179-183
    Number of pages5
    JournalJournal of Bioethical Inquiry
    Volume13
    Issue number2
    DOIs
    StatePublished - Jun 1 2016

    Fingerprint

    social crisis
    Public Policy
    Medicine
    medicine
    Social Determinants of Health
    Drug Legislation
    Torture
    Delivery of Health Care
    Harm Reduction
    Precision Medicine
    Clinical Competence
    Clinical Medicine
    Health
    Police
    Insurance Benefits
    health
    Epigenomics
    cause
    torture
    addiction

    Keywords

    • Global health
    • Healthcare
    • Inequality
    • Social medicine
    • Structural competency
    • United States

    ASJC Scopus subject areas

    • Health(social science)
    • Health Policy

    Cite this

    Structural Competency in the U.S. Healthcare Crisis : Putting Social and Policy Interventions Into Clinical Practice. / Hansen, Helena; Metzl, J.

    In: Journal of Bioethical Inquiry, Vol. 13, No. 2, 01.06.2016, p. 179-183.

    Research output: Contribution to journalArticle

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