Dominant narratives that describe the power of individual-level resilience underplay the long-lasting consequences of structural violence and perpetuate harms to historically marginalized patients and communities. It is time to update our approaches and narratives by addressing the root causes of inequities through redress and collective resistance to create the equitable conditions needed for communities to thrive.
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References
American Medical Association and Association of American Medical Colleges. Advancing Health Equity: Guide on Language, Narrative and Concepts https://www.ama-assn.org/equity-guide (2021).
American Psychological Association. Building your resilience. http://www.apa.org/topics/resilience (2020).
Shaw, J., McLean, K. C., Taylor, B., Swartout, K. & Querna, K. Beyond resilience: why we need to look at systems too. Psychol. Violence 6, 34–41 (2016).
Jones, C. P. Levels of racism: a theoretic framework and a gardener’s tale. Am. J. Public Health 90, 1212–1215 (2000).
#Say their names. https://sayevery.name/ (accessed 30 January 2022).
Nellis, A., Rovner, J. & Porter, N. D. The Color of Justice: Racial and Ethnic Disparity in State Prisons. https://www.sentencingproject.org/publications/color-of-justice-racial-and-ethnic-disparity-in-state-prisons/ (The Sentencing Project, 2021).
Eneanya, N. D. et al. Health inequities and the inappropriate use of race in nephrology. Nat. Rev. Nephrol. 18, 84–94 (2022).
National Kidney Foundation. NKF and ASN release new way to diagnose kidney diseases. https://www.kidney.org/news/nkf-and-asn-release-new-way-to-diagnose-kidney-diseases (2021).
Wispelwey, B. & Morse, M. An antiracist agenda for medicine. Boston Review https://bostonreview.net/articles/michelle-morsebram-wispelwey-what-we-owe-patients-case-medical-reparations/ (2021).
Rubio, M. Rubio to FDA: un-American to ration life-saving COVID treatments based on race. https://www.rubio.senate.gov/public/index.cfm/press-releases?id=C4E5DDF1-F326-4768-B219-68B50F20A033 (2022).
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Sivashanker, K., Couillard, C. Shifting narratives in health care from resilience to redress and resistance. Nat Rev Nephrol 18, 269–270 (2022). https://doi.org/10.1038/s41581-022-00552-5
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DOI: https://doi.org/10.1038/s41581-022-00552-5