Table 1.
Examples of Strategies for Enacting Equity‐Oriented Health Care
Key Dimension | Examples of Strategies for Enactment in Practice |
---|---|
Trauma‐ and Violence‐Informed Care | Develop awareness of the high prevalence of trauma and violence in patient populations and the impacts on physical and mental health. |
Create care spaces and interactions that are physically, emotionally, and culturally safe. | |
Create opportunities for patient choice and control such as asking permission before touching and making requests, not commands. | |
Convey openness to talking about sensitive issues such as mental health problems, substance use, and experiences of violence. | |
Acknowledge all patient concerns as legitimate, even in the absence of observable clinical findings. | |
Culturally Safe Care | Build staff awareness of the impact of discrimination, stereotyping, and stigma on patients’ health and access to health care. |
Develop strategies for actively counteracting such processes such as ensuring that the clinical environment is welcoming, inviting, and comfortable for patients; display welcoming signs in as many local languages as possible. | |
Recognize that patients who are at the greatest risk of experiencing health and social inequities may be affected the most by power inequities. Therefore, develop ways of ensuring that all patients are treated with courtesy and respect. | |
Seek and integrate feedback from patients about their experiences of care in continuous quality‐improvement processes. | |
Contextually Tailored Care | Within policy and funding constraints, prioritize services that specifically address the local population's demographics and needs. |
Routinely inquire about access to the determinants of health such as food, shelter, clothing, and the impact of financial strain. | |
Offer practical assistance to reduce barriers to accessing health and social services or other resources. | |
Offer health‐promoting recommendations and strategies that are appropriate to the social contexts of patients’ lives such as those that are affordable and feasible. |