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Related Concept Videos

Ethics and Bioethics01:22

Ethics and Bioethics

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Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
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Schemas01:42

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A schema is a mental construct consisting of a cluster or collection of related concepts (Bartlett, 1932). There are many different types of schemata, and they all have one thing in common: schemata are a method of organizing information that allows the brain to work more efficiently. When a schema is activated, the brain makes immediate assumptions about the person or object being observed.
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Design and Construction of an Urban Runoff Research Facility
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Urban Bioethics: A Call for the Prestige.

Nia Johnson, Lance Wahlert

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    Summary
    This summary is machine-generated.

    Teaching hospitals, once serving the urban poor, now face a divide due to historical factors like segregation and elitism. Re-examining the community role of elite medical institutions is crucial for equitable healthcare.

    Keywords:
    bioethicshospitalsmedical anthropologyminority healthurban bioethics

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    Area of Science:

    • Medical history
    • Public health
    • Sociology of healthcare

    Background:

    • Teaching hospitals in the US originated with philanthropic goals to serve urban poor and underserved populations.
    • A significant disconnect has emerged between these institutions and the communities they were founded to serve.
    • Factors such as white flight, segregation, and institutional elitism have contributed to this divide.

    Purpose of the Study:

    • To analyze the historical evolution of the relationship between urban communities and teaching hospitals.
    • To investigate the impact of societal changes, including segregation and elitism, on healthcare access.
    • To advocate for a renewed commitment from elite teaching hospitals and medical schools to their local communities.

    Main Methods:

    • Historical case study analysis of ten selected teaching hospitals and their affiliated medical schools.
    • Examination of the influence of demographic shifts (e.g., white flight) and discriminatory practices on healthcare institutions.
    • Review of institutional values and community engagement strategies over time.

    Main Results:

    • The study identifies specific historical mechanisms through which teaching hospitals became distanced from urban populations.
    • Evidence suggests that segregation, elitism, and marginalization have systematically impacted healthcare delivery and access.
    • The historical trajectory reveals a departure from original philanthropic missions in many institutions.

    Conclusions:

    • A critical reevaluation of the core values and community responsibilities of Ivy League and Ivy Plus teaching hospitals is necessary.
    • Intentional efforts are required for these institutions to reconnect with and serve their surrounding urban communities effectively.
    • Addressing historical inequities is paramount for fostering a more equitable healthcare landscape.