Evidence map›Paper›PMID 27178191›Full record

ArticleJournal of bioethical inquiry2016

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

H Hansen, J Metzl

Open access · greenAbstract read
In one paragraph

Article in Journal of bioethical inquiry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
14.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  15. Structural Competency in Health Care.The Nursing clinics of North America · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

H HansenNew York University, New York, NY, USA. Helena.Hansen@nyumc.org.
J MetzlVanderbilt University, Nashville, TN, USA.
New York University · USVanderbilt University · US

Funding

Mainstreaming Opioid Maintenance Treatment into General Medicine: Effects on AddiK01DA032674 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HANSEN, HELENA BJERRING · 2012 to 2016
$903k
NIDA NIH HHS K01 DA032674
6 · The paper itself

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.

Indexed as

Health Care ReformPoliticsDelivery of Health CareHealthcare DisparitiesHealth Services Needs and DemandHumansOrganizational InnovationPublic PolicyUnited StatesGlobal healthHealthcareInequalitySocial medicineStructural competencyUnited States

Identifiers

PMID27178191
PMCPMC4920691
OpenAlexW2388430956

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.