Towards Health Justice: Implementing Structural Competency in Women’s Healthcare Education
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Journal Article
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Elsevier BV
Abstract
Introduction The World Health Organization advocates for preparing medical students to address health disparities experienced by minority groups. The persistent disparities in women’s health outcomes, particularly among racial and ethnic minorities, highlight critical gaps in current medical education approaches. Despite strong consensus about the significance of structural competence training in medical education, most curricula struggle to develop, teach, and assess it effectively, particularly in addressing women’s health disparities. Objectives This systematic review aims to: (1) evaluate structural competency’s role in women’s health disparities and (2) develop implementation strategies for women’s healthcare education. Methodology A systematic literature review using Scopus, Google Scholar, and Web of Science databases (2010–2023) initially identified 905 articles. Following rigorous inclusion criteria focusing on structural competency, women’s health disparities, and medical education, 40 articles were selected for final analysis. Findings The review presents (1) comprehensive evidence of health disparities in women’s healthcare, particularly affecting racial and ethnic minorities; (2) the critical role of structural competency in addressing systemic barriers and discrimination in healthcare delivery; (3) effective teaching strategies including lecture-based, case-based, team-based, and simulation-based learning approaches; Findings indicate that successful implementation of structural competency requires multi-level interventions across individual, interpersonal, clinic, community, research, and policy domains. Conclusion This review establishes the importance of integrating structural competency into women’s healthcare education. While implementation challenges exist, the framework developed provides practical guidance to address women’s health disparities through structural competency training.Description
Keywords
4203 Health Services and Systems, 4206 Public Health, 42 Health Sciences, Social Determinants of Health, Health Services, Basic Behavioral and Social Science, Women's Health, Clinical Research, Behavioral and Social Science, 7.3 Management and decision making, 8.1 Organisation and delivery of services, Generic health relevance, 4 Quality Education, 4204 Midwifery, 4205 Nursing
Source
International Journal of Africa Nursing Sciences, ISSN: 2214-1391 (Print), Elsevier BV, 22, 100819-100819. doi: 10.1016/j.ijans.2025.100819
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© 2025 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).