A Culture Shift for Excellence in Physical Therapy: Promoting Equity Through the Structural Determinants of Health.

IF 3.5 4区 医学 Q1 ORTHOPEDICS Physical Therapy Pub Date : 2024-09-04 DOI:10.1093/ptj/pzae098
Karla A Bell, Tiffany Adams
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引用次数: 0

Abstract

The purpose of this perspective is to discuss the imperative for curricular change that focuses on the utilization of structural competency to promote excellence in physical therapist professional education, transform society, and achieve health equity. Pedagogy centered around biomedical and social determinants of health (SDOH) models are limited in that they lack self-reflexivity, encode social identities like race and gender as risk factors for poor health, fail to examine structural causes of health inequity, conflate SDOH and the structural forces that shape their unequal distribution, and overlook instances of injustice. Promoting health equity will require structural competency, an approach that considers drivers of health beyond the individual and their conditions of daily living (ie, SDOH). Utilizing this approach in physical therapist professional education will help learners understand the evolving needs of society in a deeper, more holistic way: one that considers structural determinants of health as the primary drivers of health equity and inequity.

Impact: This paper provides a perspective on how physical therapist professional education can promote health equity for all by embracing an equity-focused, structurally competent pedagogy/approach.

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卓越理疗文化的转变:通过健康的结构性决定因素促进公平。
本观点旨在讨论课程改革的必要性,其重点是利用结构性能力促进卓越的理疗师专业教育、改造社会并实现健康公平。以生物医学和健康的社会决定因素(SDOH)模式为中心的教学方法是有限的,因为它们缺乏自我反思性,将种族和性别等社会身份编码为健康状况不佳的风险因素,未能研究健康不公平的结构性原因,混淆了健康的社会决定因素和形成其不平等分配的结构性力量,并忽略了不公正的情况。要促进健康公平,就必须具备结构性能力,即考虑个人及其日常生活条件(即 SDOH)之外的健康驱动因素。在理疗师专业教育中采用这种方法将有助于学习者更深入、更全面地了解社会不断变化的需求:将健康的结构性决定因素视为健康公平和不公平的主要驱动因素:本文从一个角度阐述了理疗师专业教育如何通过采用注重公平、结构合格的教学法/方法来促进全民健康公平。
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来源期刊
Physical Therapy
Physical Therapy Multiple-
CiteScore
7.10
自引率
0.00%
发文量
187
审稿时长
4-8 weeks
期刊介绍: Physical Therapy (PTJ) engages and inspires an international readership on topics related to physical therapy. As the leading international journal for research in physical therapy and related fields, PTJ publishes innovative and highly relevant content for both clinicians and scientists and uses a variety of interactive approaches to communicate that content, with the expressed purpose of improving patient care. PTJ"s circulation in 2008 is more than 72,000. Its 2007 impact factor was 2.152. The mean time from submission to first decision is 58 days. Time from acceptance to publication online is less than or equal to 3 months and from acceptance to publication in print is less than or equal to 5 months.
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