Department of Health Services, Policy, and Practice, School of Public Health, Brown University, Providence, RI, USA.
Departamento de Ciencias Sociales, Universidad de Tarapacá, Arica, Chile.
Glob Public Health. 2023 Jan;18(1):2220023. doi: 10.1080/17441692.2023.2220023.
Structural competency is a recent framework for understanding and addressing the structural drivers of disease. Latin American Social Medicine and Collective Health is a decades-long movement similarly concerned with the study and transformation of social structures to achieve health equity. In this paper, we put insights from Latin American Social Medicine and Collective Health into conversation with the developing structural competency framework. We focus specifically on insights from Jaime Breilh's new article summarising his theoretical work on medical ethics and rights in this special issue and his new book, . This paper is comprised of three parts. Part 1 provides an introduction to the structural competency framework. Part 2 provides an overview of the Latin American Social Medicine and Collective Health movement, along with a summary of the social determination of health paradigm. Part 3 places insights from these works into conversation with structural competency and considers ways in which Latin American Social Medicine and Collective Health might inform the further development of structural competency, and potentially vice versa. The paper closes by calling for greater attention to Latin American Social Medicine and Collective Health among those committed to health equity within the anglophone world.
结构能力是一个理解和解决疾病结构驱动因素的新框架。拉丁美洲社会医学和集体卫生是一个有着数十年历史的运动,同样关注社会结构的研究和变革,以实现健康公平。在本文中,我们将拉丁美洲社会医学和集体卫生的观点与正在发展的结构能力框架进行对话。我们特别关注 Jaime Breilh 在本期特刊中总结他在医学伦理和权利方面的理论工作的新文章以及他的新书《》中的观点。本文由三个部分组成。第 1 部分介绍了结构能力框架。第 2 部分概述了拉丁美洲社会医学和集体卫生运动,以及健康决定因素范式的概述。第 3 部分将这些著作中的观点与结构能力进行对话,并考虑拉丁美洲社会医学和集体卫生如何为结构能力的进一步发展提供信息,反之亦然。本文最后呼吁在致力于英语世界健康公平的人群中,更多地关注拉丁美洲社会医学和集体卫生。