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The roundtable fosters current scholarly discussion on the developing of a “Structural Competency” framework within Health Care Services facing multiple conditions of crisis. It contributes to conversations on decolonizing and democratising knowledge production in medicine and global health.
The crisis of healthcare services has been lately to the fore of global political agendas. The COVID 19 pandemic powerfully showed the disastrous consequences of emergency systems overcrowding, and the lack of equity in the distribution of funding, equipment and labor force to address the increasing needs of people with chronic health conditions. Working as a magnifying lens, COVID-19 also illustrated the iatrogenic effects of humanitarian and privatisation campaigns in the global south, the impact of mass incarceration on health in the US, or the increasing underfinance of welfare services in Europe.
Through the study of healthcare crisis, like the COVID-19 Pandemic, anthropologist have been able to reframe individual narratives of staff and patients into structural terms (Bourgois et al. 2017). Recent works in anthropology have explored what happens to health care staff possibility to deliver care (Kostakiotis and Trakas 2014; Morris 2018), and which kind of ethics and subjectivities are developed in a state of crisis (Luhrmann 2001; Smith-Oka 2021; Closser et al. 2022). To strengthen such contribution, the roundtable explores anthropology’s engagement with research and training of health care practitioners facing multiple forms of healthcare crisis.
Taking the structural competency research framework as a starting point (Metzl and Hansen 2014), we aim to problematise the capacity of health professionals to recognise and respond to the shifting role that social, economic, and political structural factors play in patient and community health. All of which by contributing to conversations on decolonizing and democratising knowledge production in medicine and global health.
Sofia Bowen (Universidad Católica de Chile)
Lucia Mair (University of Vienna)
Zvika Orr (Jerusalem College of Technology) Mark Fleming (University of California, Berkeley)
Roberto Beneduce (University of Turin) Ibrahima Poudiougou (Norwegian University of Life Sciences)