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On the Role of Structural Competency in the Healthcare of Migrant with Precarious Residency Status

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  • Jérémy Geeraert

    (Centre National de la Recherche Scientifique (CNRS), 75016 Paris, France)

Abstract

The literature on the health care of migrant patients has often emphasized the importance of cultural skills and cultural humility that caregivers must bring to their care. Recent work has emphasized the importance of adopting a structural reading of this competency. Based on two empirical surveys conducted in France and Germany in facilities providing access to care for migrants with precarious residency status, this article demonstrates the importance of competency linking in terms of what is produced by structures and institutions and what is produced during medical interactions between patients, medical professionals, and volunteers. The complexity of accessing health protection systems for migrants with precarious residency status is often the main structural and institutional barrier to care. To remove this barrier, health professionals can develop legal and administrative competency regarding residency and health rights. They can also develop institutional and practical competency regarding the possibilities of access to health care for people without health coverage in the local geographical context. Structural competency is also effective in deconstructing the stigma and discrimination that minority groups experience in the healthcare system.

Suggested Citation

  • Jérémy Geeraert, 2022. "On the Role of Structural Competency in the Healthcare of Migrant with Precarious Residency Status," Societies, MDPI, vol. 12(2), pages 1-12, March.
    • Handle: RePEc:gam:jsoctx:v:12:y:2022:i:2:p:54-:d:779399
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    1. Metzl, Jonathan M. & Hansen, Helena, 2014. "Structural competency: Theorizing a new medical engagement with stigma and inequality," Social Science & Medicine, Elsevier, vol. 103(C), pages 126-133.
    2. Huschke, Susann, 2014. "Performing deservingness. Humanitarian health care provision for migrants in Germany," Social Science & Medicine, Elsevier, vol. 120(C), pages 352-359.
    3. Holmes, Seth M., 2012. "The clinical gaze in the practice of migrant health: Mexican migrants in the United States," Social Science & Medicine, Elsevier, vol. 74(6), pages 873-881.
    4. Bousmah, Marwân-al-Qays & Combes, Jean-Baptiste Simon & Abu-Zaineh, Mohammad, 2019. "Health differentials between citizens and immigrants in Europe: A heterogeneous convergence," Health Policy, Elsevier, vol. 123(2), pages 235-243.
    5. Richard Rogers, 1992. "Living and dying in the U.S.A.: Sociodemographic determinants of death among blacks and whites," Demography, Springer;Population Association of America (PAA), vol. 29(2), pages 287-303, May.
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    1. Costas S. Constantinou & Panayiota Andreou & Monica Nikitara & Alexia Papageorgiou, 2022. "Cultural Competence in Healthcare and Healthcare Education," Societies, MDPI, vol. 12(6), pages 1-4, November.

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