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Good Sanctuary Doctoring for Undocumented Patients
Mark G Kuczewski1, Johana Mejias-Beck2, Amy Blair3
1The Fr Michael I. English, SJ, Professor of Medical Ethics at Loyola University Chicago Stritch School of Medicine in Maywood, Illinois, where he is also director of the Neiswanger Institute for Bioethics and Healthcare Leadership.
AMA Journal of Ethics
|January 24, 2019
Summary
Fear of immigration enforcement harms immigrant patients
Area of Science:
- Public Health
- Immigration Policy
- Medical Ethics
Background:
- Clinicians report a climate of fear among immigrant patients due to increased immigration enforcement.
- This fear negatively impacts patients' willingness to seek essential medical care.
- Undocumented immigrants face heightened stress, creating barriers to healthcare access.
Purpose of the Study:
- To develop practical guidance for clinicians on "sanctuary doctoring" for immigrant populations.
- To provide tools for initiating conversations about immigration-related concerns.
- To assist healthcare providers in connecting patients with vital support networks and resources.
Main Methods:
- Literature review on immigration, healthcare access, and patient-provider communication.
- Incorporation of authors' clinical experience with immigrant patient populations.
- Development of practical materials for brief clinical encounters.
Main Results:
- Guidance on "sanctuary doctoring" offers a framework for addressing patient fears.
- Materials facilitate dialogue regarding immigration concerns within clinical settings.
- Clinicians can effectively link patients to community resources and support systems.
Conclusions:
- Sanctuary doctoring principles can mitigate the negative impact of immigration enforcement on patient health.
- Brief clinical interventions can empower patients and improve healthcare engagement.
- Supporting immigrant patients requires addressing their unique social and legal stressors.
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