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How Providers Can Acquire Structural and Intersectional Competencies.

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    Healthcare providers must recognize how external factors like socioeconomic status and citizenship impact patient well-being. Additionally, understanding and avoiding ableist assumptions can prevent iatrogenic harm and improve patient relationships.

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    Area of Science:

    • Medical Ethics
    • Sociology of Health
    • Health Disparities

    Background:

    • Patient harm can stem from external circumstances, including socioeconomic factors and healthcare access barriers.
    • Healthcare providers may inadvertently cause harm through ableist assumptions and biases.
    • Understanding structural and intersectional factors is crucial for equitable healthcare.

    Purpose of the Study:

    • To explore how external factors (structural and intersectional) cause patient harm.
    • To identify methods for healthcare providers to recognize and mitigate external harm.
    • To examine how provider biases can lead to iatrogenic harm and propose solutions.

    Main Methods:

    • Case study analysis of patients affected by external circumstances.
    • Literature review on structural and intersectional determinants of health.
    • Exploration of principles from "The Anti-Ableist Manifesto" to address provider bias.

    Main Results:

    • External factors such as poor insurance and non-citizen status significantly impact patient health outcomes.
    • Ableist assumptions by providers can lead to iatrogenic harm, underscoring the need for bias awareness.
    • The case of Mats Steen highlights the profound impact of perception and inference on patient-provider relationships.

    Conclusions:

    • Healthcare systems must address structural and intersectional barriers to ensure equitable care.
    • Providers need training to identify and counteract ableist biases, preventing iatrogenic harm.
    • Rethinking inferences based on appearance and limited knowledge is essential for compassionate patient care.