STR_02LeadingStructural Competence
Regular Practice-Based Structural Competence Discussions
Summary
Incorporate regular structured conversations about structural competence into existing team meetings or protected learning time.
Supporting information
Healthcare often focuses on individual behaviour while ignoring structural factors that contribute to poor health. Regular discussions about structural barriers builds team capacity to recognise and respond to systemic inequities affecting patients.
Approaches to implementation:
- Schedule regular discussions about structural barriers
- Use case discussions to explore structural influences, linking structural factors to clinical presentations
- Invite external speakers on housing, immigration, welfare
- Create safe spaces to discuss systemic racism and discrimination
- Develop practice responses to common structural barriers
- Document learning and actions taken
Key benefits: Builds sophisticated understanding of how structural factors drive health inequalities, enabling more effective responses that address root causes.