Question special
Authors and Editor

The introductory article to the Case Studies in Social Medicine defines structure: "Structure is a conceptual antidote to the tendency in clinical medicine to address all problems as the result of individual choices and residing in individual bodies. By “social structure,” we mean durable patterned arrangements — from language barriers and social hierarchies to policies, economic systems, and other institutions (such as judicial systems, and educational systems) — that produce and maintain social inequalities and health disparities, often along the lines of social categories such as race, class, gender, and sexuality. A structural analysis contextualizes health-related behaviors by charting how the design of complex social institutions (such as hospitals, insurance plans, prisons, regulatory agencies, and religious institutions) as well as powerful forces guiding everyday social life (such as racism, gender bias, social networks, neighborhood segregation, and language) determine what happens to individual bodies."

What "structures" in this very broad sense might affect the course of the patient in this case?

nejm.org/doi/full/10.1056/NEJM...