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Background <p>Culturally sensitive healthcare is widely regarded as a&#xa0;key strategy for addressing patient diversity. However, its focus on cultural difference proves insufficient when structural inequalities and forms of discrimination remain unaddressed. Such approaches risk leading to culturalization, stereotyping, and limited structural impact.</p> Research question <p>What are the limitations of culturally sensitive approaches in healthcare, and how can antidiscrimination perspectives contribute to more equitable healthcare delivery?</p> Materials and methods <p>This article adopts a&#xa0;theory-driven, practice-based approach. It draws on a&#xa0;critical analysis of culturally sensitive care models using interdisciplinary literature, a&#xa0;reflective examination of the “Empowerment for diversity” program at Charité—Universitätsmedizin Berlin, and documented case studies from clinical practice.</p> Results <p>Antidiscrimination approaches enable a&#xa0;more nuanced understanding of health inequalities by focusing on the social and structural determinants of health and on institutional and societal power relations. Case studies illustrate how reducing complex care situations to ”culture“ can reinforce structural exclusion. The Empowerment program actively addresses these issues by dismantling structural barriers and promoting diversity competence among healthcare professionals.</p> Conclusion <p>Culturally sensitive measures alone are insufficient to promote health equity. Sustainable improvement requires removing structural barriers to healthcare access, implementing institutional change, and building diversity competence within the healthcare workforce.</p>

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Grenzen kultursensibler Ansätze und Perspektiven diskriminierungskritischer Gesundheitsversorgung

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年9月22日

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  • Tuğba Yalçınkaya,
  • Ute Siebert,
  • Anthea Backfisch,
  • Sybill Schulz,
  • Jalid Sehouli,
  • Theda Borde

摘要

Background

Culturally sensitive healthcare is widely regarded as a key strategy for addressing patient diversity. However, its focus on cultural difference proves insufficient when structural inequalities and forms of discrimination remain unaddressed. Such approaches risk leading to culturalization, stereotyping, and limited structural impact.

Research question

What are the limitations of culturally sensitive approaches in healthcare, and how can antidiscrimination perspectives contribute to more equitable healthcare delivery?

Materials and methods

This article adopts a theory-driven, practice-based approach. It draws on a critical analysis of culturally sensitive care models using interdisciplinary literature, a reflective examination of the “Empowerment for diversity” program at Charité—Universitätsmedizin Berlin, and documented case studies from clinical practice.

Results

Antidiscrimination approaches enable a more nuanced understanding of health inequalities by focusing on the social and structural determinants of health and on institutional and societal power relations. Case studies illustrate how reducing complex care situations to ”culture“ can reinforce structural exclusion. The Empowerment program actively addresses these issues by dismantling structural barriers and promoting diversity competence among healthcare professionals.

Conclusion

Culturally sensitive measures alone are insufficient to promote health equity. Sustainable improvement requires removing structural barriers to healthcare access, implementing institutional change, and building diversity competence within the healthcare workforce.