Teaching Abolition Medicine: Best Practices for Centering Criminalized Communities in Medical Education.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI:10.1353/hpu.2024.a943993
Mackenzie A Mitchell, Mary Thomas, Micaela Linder, Joseph Truglio
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Abstract

Mass incarceration is a significant structural determinant of health, affecting incarcerated individuals, their families, and communities, with profound racial disparities. Health care professionals have an opportunity to reduce these inequities through abolition medicine. Abolition in health care means rewriting how doctors relate to patients labeled as criminal and is not a new checklist that can be imposed on the existing curriculum. Beyond changing individual clinical practice, abolition medicine also provides a critical framework for dismantling unjust policies. However, published medical education curricula lack an in-depth component on how to identify and disrupt medical practices designed to perpetuate inequities, and few report development alongside individuals with lived experience. In this article we explore the current state of medical education curricula as they pertain to health, incarceration, and abolition. We propose best practices for reducing health inequities for criminalized individuals grounded in our work alongside individuals with lived experience of incarceration.

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废医教学:在医学教育中以犯罪群体为中心的最佳实践。
大规模监禁是健康的一个重要结构性决定因素,影响着被监禁的个人、他们的家庭和社区,并存在着深刻的种族差异。医疗保健专业人员有机会通过废除医疗来减少这些不平等现象。在医疗保健领域废除死刑意味着重写医生与被贴上罪犯标签的病人的关系,而不是在现有课程中强加一个新的清单。除了改变个人的临床实践,废医还为废除不公正的政策提供了一个重要框架。然而,已出版的医学教育课程中缺乏关于如何识别和破坏旨在延续不平等的医疗实践的深入内容,也很少有报告称与有生活经验的个人共同发展。在本文中,我们将探讨医学教育课程的现状,因为它们与健康、监禁和废医有关。我们与有监禁生活经历的人一起工作,并以此为基础,提出了减少被定罪者健康不平等的最佳实践。
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来源期刊
CiteScore
2.00
自引率
7.10%
发文量
154
期刊介绍: The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.
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