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The Structural Analysis: Incorporating Structurally Competent Clinical Reasoning into Case-Based Presentations
Structural and social determinants of health account for the health disparities we see along social hierarchies, and their impact has been made more evident by the recent COVID-19 pandemic. There have been increasing calls to incorporate structural competency into medical education. The structural a...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9362667/ https://www.ncbi.nlm.nih.gov/pubmed/35922707 http://dx.doi.org/10.1007/s11606-022-07751-7 |
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author | Hassan, Iman F. Bui, Thuy |
author_facet | Hassan, Iman F. Bui, Thuy |
author_sort | Hassan, Iman F. |
collection | PubMed |
description | Structural and social determinants of health account for the health disparities we see along social hierarchies, and their impact has been made more evident by the recent COVID-19 pandemic. There have been increasing calls to incorporate structural competency into medical education. The structural and social context, however, has yet to be fully integrated into everyday clinical practice and little has been published on how to concretely imbed structural competency into clinical reasoning. The authors provide a framework for structural analysis, which incorporates four key steps: (1) developing a prioritized clinical problem list, (2) identifying social and structural root causes for clinical problems, (3) constructing and documenting a prioritized structural problem list, and (4) brainstorming solutions to address structural barriers and social needs. They show how structural analysis can be used to operationalize structural reasoning into everyday inpatient and outpatient clinical assessments. |
format | Online Article Text |
id | pubmed-9362667 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-93626672022-08-10 The Structural Analysis: Incorporating Structurally Competent Clinical Reasoning into Case-Based Presentations Hassan, Iman F. Bui, Thuy J Gen Intern Med Perspective Structural and social determinants of health account for the health disparities we see along social hierarchies, and their impact has been made more evident by the recent COVID-19 pandemic. There have been increasing calls to incorporate structural competency into medical education. The structural and social context, however, has yet to be fully integrated into everyday clinical practice and little has been published on how to concretely imbed structural competency into clinical reasoning. The authors provide a framework for structural analysis, which incorporates four key steps: (1) developing a prioritized clinical problem list, (2) identifying social and structural root causes for clinical problems, (3) constructing and documenting a prioritized structural problem list, and (4) brainstorming solutions to address structural barriers and social needs. They show how structural analysis can be used to operationalize structural reasoning into everyday inpatient and outpatient clinical assessments. Springer International Publishing 2022-08-03 2022-10 /pmc/articles/PMC9362667/ /pubmed/35922707 http://dx.doi.org/10.1007/s11606-022-07751-7 Text en © The Author(s), under exclusive licence to Society of General Internal Medicine 2022 |
spellingShingle | Perspective Hassan, Iman F. Bui, Thuy The Structural Analysis: Incorporating Structurally Competent Clinical Reasoning into Case-Based Presentations |
title | The Structural Analysis: Incorporating Structurally Competent Clinical Reasoning into Case-Based Presentations |
title_full | The Structural Analysis: Incorporating Structurally Competent Clinical Reasoning into Case-Based Presentations |
title_fullStr | The Structural Analysis: Incorporating Structurally Competent Clinical Reasoning into Case-Based Presentations |
title_full_unstemmed | The Structural Analysis: Incorporating Structurally Competent Clinical Reasoning into Case-Based Presentations |
title_short | The Structural Analysis: Incorporating Structurally Competent Clinical Reasoning into Case-Based Presentations |
title_sort | structural analysis: incorporating structurally competent clinical reasoning into case-based presentations |
topic | Perspective |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9362667/ https://www.ncbi.nlm.nih.gov/pubmed/35922707 http://dx.doi.org/10.1007/s11606-022-07751-7 |
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