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Racial Discrimination in Patient Care-Preserving Relationships With Integrity.

Donna M Fahey1

  • 1Donna M. Fahey, MSN, MFA, RN, CHPN, AHN-BC, CNL, is director of the Samaritan Institute for Education, Research & Innovation, Mt Laurel, New Jersey, and adjunct faculty within the Complementary & Integrative Health program at Drexel University, Philadelphia, Pennsylvania.

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|October 13, 2022
PubMed
Summary
This summary is machine-generated.

Healthcare racism is an open secret, allowing patient refusal of care based on clinician race. This challenges medical ethics and requires organizational training to address discrimination and preserve integrity.

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Area of Science:

  • Medical Ethics
  • Healthcare Disparities
  • Clinical Racism

Background:

  • The healthcare system faces an "open secret" where patients/families can refuse care from clinicians of a different race.
  • This practice raises significant ethical concerns regarding patient autonomy, nonmaleficence, justice, and the duty to treat.
  • Racism within clinical settings can harm clinicians, healthcare teams, and organizations.

Purpose of the Study:

  • To explore the ethical tensions arising from racial discrimination in healthcare.
  • To examine the impact of racism on clinicians, teams, and healthcare organizations.
  • To identify creative solutions for preserving patient-clinician relationships and clinician integrity when racism occurs.

Main Methods:

  • Case study analysis of racial refusal of care in healthcare.
  • Ethical framework examination (autonomy, nonmaleficence, justice, duty to treat).
  • Exploration of organizational and individual strategies for addressing clinical racism.

Main Results:

  • Racism in healthcare creates ethical dilemmas that strain core medical principles.
  • Effective identification and management of racism require clinician knowledge, organizational training, and strong moral character.
  • Unaddressed racial discrimination undermines a responsive and ethical healthcare community.

Conclusions:

  • Addressing racism in healthcare is crucial for maintaining ethical practice and clinician well-being.
  • Creative solutions are needed to navigate patient-clinician relationships amidst racial bias.
  • Organizational commitment to anti-racism is essential for fostering a just and equitable healthcare environment.