Addressing Structural Inequalities, Structural Racism, and Social Determinants of Health: a Vision for the Future.
J Gen Intern Med
; 39(3): 487-491, 2024 Feb.
Article
en En
| MEDLINE
| ID: mdl-37740168
ABSTRACT
Significant national discourse has focused on the idea of structural inequalities and structural racism within a variety of societal sectors, including healthcare. This perspective provides an understanding of the historic and pervasive nature of structural inequalities and structural racism; uses well-known frameworks in health equity research for conceptualizing structural inequality and structural racism; offers a summary of the consequences of structural inequalities and structural racism on modern-day health outcomes; and concludes with strategies and suggestions for a way forward. Recommended strategies across different sectors of influence include (a) employment and economic empowerment sector creating capacity for individuals to earn livable wages; (b) education sector developing new funding structures to ensure equal opportunities are offered to all; (c) healthcare sector prioritizing universal access to high-quality health care, including mental health treatment; (d) housing sector improving access to affordable, safe housing through public-private partnerships; (e) criminal justice sector focusing reform on restorative justice that is people-centric instead of punitive; and (f) environmental sector creating sustainable systems that alleviate downstream consequences of climate change. The recommended strategies account for the mutually reinforcing and pervasive nature of structural inequalities/structural racism and target key sectors of influence to enhance overall health outcomes and achieve equity regardless of race, ethnicity, or socioeconomic status.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
/
2_ODS3
Problema de salud:
1_acesso_equitativo_servicos
/
1_desigualdade_iniquidade
/
2_cobertura_universal
Asunto principal:
Racismo
/
Racismo Sistemático
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Límite:
Humans
Idioma:
En
Revista:
J Gen Intern Med
Asunto de la revista:
MEDICINA INTERNA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos