What Should Clinicians Do When a Patient's Autonomy Undermines Her Being Treated Equitably?


Journal

AMA journal of ethics
ISSN: 2376-6980
Titre abrégé: AMA J Ethics
Pays: United States
ID NLM: 101649265

Informations de publication

Date de publication:
01 02 2021
Historique:
entrez: 26 2 2021
pubmed: 27 2 2021
medline: 29 7 2021
Statut: epublish

Résumé

Language and cultural barriers can impede communication between patients and clinicians, exacerbating health inequity. Additional complications can arise when family members, intending to protect their loved ones, ask clinicians to lie or not disclose to patients their diagnoses, prognoses, or intervention options. Clinicians must express respect for patients' and families' cultural, religious, and social norms regarding health care decision making, but they might also be ethically troubled by some decisions' effects on patients' health outcomes. This article suggests strategies for clinicians trying to overcome linguistic and cultural barriers to equitable patient care.

Identifiants

pubmed: 33635189
pii: amajethics.2021.97
doi: 10.1001/amajethics.2021.97
pmc: PMC8366686
mid: NIHMS1724075
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

E97-108

Subventions

Organisme : NCI NIH HHS
ID : K07 CA184037
Pays : United States
Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States
Organisme : NCI NIH HHS
ID : T32 CA009461
Pays : United States

Informations de copyright

© 2021 American Medical Association. All Rights Reserved.

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Auteurs

Amy Scharf (A)

Member of the ethics committee at Memorial Sloan Kettering Cancer Center in New York City.

Louis Voigt (L)

Associate professor of clinical medicine and anesthesiology at Weill Cornell Medical College in New York City.

Santosha Vardhana (S)

Medical oncologist at Memorial Sloan Kettering Cancer Center in New York City.

Konstantina Matsoukas (K)

Research informationist at the Memorial Sloan Kettering Cancer Center's Medical Library in New York City.

Lisa M Wall (LM)

Clinical nurse specialist and ethics consultant at Memorial Sloan Kettering Cancer Center in New York City.

Maria Arevalo (M)

Clinical nurse at Memorial Sloan Kettering Cancer Center in New York City.

Lisa C Diamond (LC)

Member of the research faculty of the Memorial Sloan Kettering Cancer Center Immigrant Health and Cancer Disparities Service.

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