Reich Adam D, Hansen Helena B, Link Bruce G
Department of Sociology, Columbia University, 606 W. 122nd Street, New York, NY, 10027, USA.
Department of Anthropology and Psychiatry, New York University, New York, NY, USA.
J Bioeth Inq. 2016 Jun;13(2):185-92. doi: 10.1007/s11673-016-9715-3. Epub 2016 Mar 29.
In order to enhance the "structural competency" of medicine-the capability of clinicians to address social and institutional determinants of their patients' health-physicians need a theoretical lens to see how social conditions influence health and how they might address them. We consider one such theoretical lens, fundamental cause theory, and propose how it might contribute to a more structurally competent medical profession. We first describe fundamental cause theory and how it makes the social causes of disease and health visible. We then outline the sorts of "fundamental interventions" that physicians might make in order to address the fundamental causes.
为了增强医学的“结构胜任力”——临床医生应对患者健康的社会和制度决定因素的能力,医生需要一个理论视角来审视社会状况如何影响健康以及他们如何应对这些状况。我们考虑了这样一个理论视角,即根本原因理论,并提出它如何有助于形成一个更具结构胜任力的医学专业。我们首先描述根本原因理论及其如何使疾病和健康的社会原因变得可见。然后,我们概述医生为应对根本原因可能采取的各类“根本干预措施”。