A Clinical Practice Model to Promote Health Equity for Adolescents and Young Adults

  • Maria Veronica Svetaz
  • Suzanne Bring
  • Lisa Barkley


Creating a clinical model to promote health equity demands a modern philosophy of care, which requires a different mindset that is distinct from the prevailing healthcare model. Using evidence-based components and guided by best practices in the delivery of care, this chapter outlines critical components that should be considered when designing healthcare programming with adolescents and young adults from non-dominant cultures or backgrounds or with any youth at risk of discrimination or vulnerable to multiple social determinants of health. These components are (1) work on internal bias; (2) cultural tailoring or appropriateness; (3) patient activation; (4) welcoming empathy; (5) navigation skills; (6) cross-sector, integrated care; (7) systems of care; (8) family-centered care; (9) foster identity development (ethnic identity in particular); (10) coach around discrimination and biases; (11) two-level advocacy; and (12) sustainability. Combining these components provides a practical framework for clinicians to promote health equity in clinical practice settings.


Inclusive programs Cultural tailoring Cultural congruence Clinical developmental needs Safety net Underserved populations Population health Adolescent health Reproductive health Sexual health Mental health 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Maria Veronica Svetaz
    • 1
    • 2
  • Suzanne Bring
    • 3
  • Lisa Barkley
    • 4
  1. 1.Department of Family and Community MedicineHennepin HealthcareMinneapolisUSA
  2. 2.School of MedicineUniversity of MinnesotaMinneapolisUSA
  3. 3.Independent writer and editorDelray BeachUSA
  4. 4.Family Medicine Residency, Vice-Chair, Department of Family MedicineCharles R. Drew University of Medicine and ScienceLos AngelesUSA

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