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Microaggressions in Clinical Medicine.

Lauren Freeman, Heather Stewart

    Kennedy Institute of Ethics Journal
    |February 5, 2019
    PubMed
    Summary

    Microaggressions in clinical medicine harm physician-patient trust and care quality. Healthcare providers must recognize and prevent these subtle insults to ensure equitable patient treatment.

    Area of Science:

    • Medical Ethics
    • Sociology of Health
    • Patient Care Quality

    Background:

    • Microaggressions, subtle forms of discrimination, negatively impact marginalized groups.
    • The clinical medical setting presents unique dynamics for microaggression occurrence.
    • Understanding microaggressions is crucial for equitable healthcare delivery.

    Purpose of the Study:

    • To propose a victim-centered framework for analyzing microaggressions in clinical medicine.
    • To elucidate how microaggressions erode trust in the physician-patient relationship.
    • To underscore the detrimental effects of microaggressions on the quality of medical care.

    Main Methods:

    • Qualitative analysis of victim experiences with microaggressions in healthcare.
    • Theoretical framework development focusing on the patient's perspective.

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  • Literature review on discrimination and its impact on therapeutic alliances.

    • Main Results:

    • Microaggressions significantly undermine the foundation of trust essential for effective healthcare.
    • Victim accounts reveal profound negative impacts on patient well-being and treatment adherence.
    • The quality and appropriateness of care are compromised when microaggressions occur.

    Conclusions:

    • A victim-centered approach highlights the pervasive harm of microaggressions in clinical settings.
    • Healthcare providers need education on identifying and mitigating microaggressions.
    • Actively avoiding microaggressions is imperative for fostering inclusive and high-quality patient care.