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Addressing racism in the healthcare encounter

The role of clinical ethics consultants

Bibliographic Data

ID21503945
AuthorsKatherine E MacDuffie (0000-0003-1252-4373, Treuman Katz Center for Pediatric Bioethics and Palliative Care, corresponding author), Arika Patneaude (Treuman Katz Center for Pediatric Bioethics and Palliative Care), Shaquita Bell (Odessa Brown Children's Clinic, Seattle Children's Hospital Seattle Washington USA), Alicia Adiele (Center for Diversity and Health Equity, Seattle Children's Hospital Seattle Washington USA), Neena Makhija (Center for Diversity and Health Equity, Seattle Children's Hospital Seattle Washington USA), Benjamin S Wilfond (0000-0002-2671-9860, Seattle Children's Hospital), Benjamin Wilfond (Treuman Katz Center for Pediatric Bioethics and Palliative Care), Douglas J Opel (0000-0001-7021-191X, Seattle Children's Hospital), Douglas Opel (Treuman Katz Center for Pediatric Bioethics and Palliative Care)
Year2022
Volume36
Issue3
Pages313-317
Publication date2022-03-01
Open AccessYes
TypeARTICLE
VenueBioethics (JOURNAL)
Journal identifiersISSN: 0269-9702 • E-ISSN: 1467-8519
PublisherWiley (PUBLISHER • GB)
DOI10.1111/bioe.13008
PMID35132655
OpenAlexW4210906778
LanguageEN
Citations received3

Justice is a core principle in bioethics, and a fair opportunity to achieve health is central to this principle. Racism and other forms of prejudice, discrimination, or bias directed against people on the basis of their membership in a particular racial or ethnic group are known contributors to health inequity, defined as unjust differences in health or access to care. Though hospital‐based ethics committees and consultation services routinely address issues of justice that arise in the course of patient care, there is variability in whether and how racism and other causes of health inequities are addressed. In this paper, we describe a novel structure and process for addressing health equity within clinical ethics consultation. In addition, we discuss the barriers and challenges to its success, many of which are rooted in the identities, norms and assumptions that underlie traditional clinical ethics consultation. We offer pragmatic recommendations and conclude with unresolved questions that remain as we work to adapt the structure of a clinical ethics consultation service to improve attention to issues of health equity and promote anti‐racism in patient care and institutional policy

Bioethics · Economic Justice · Health care · Health equity · Political science · Public relations · Racism · Sociology · Ethics and Legal Issues in Pediatric Healthcare · Ethics in medical practice · Health and Conflict Studies · Law · Psychology · Social Psychology

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Citations per year1.5
Citation span2024 - 2026 (3)
Highly citedNo

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Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae